title: [Hypertensive retinopathy and papilledema. Apropos of a case of glycyrrhizin poisoning].
abstract: We present a case report of a patient suffering of severe hypertension and grade IV hypertensive retinopathy according to the Keith-Wagener classification. Simultaneously hypertensive encephalopathy was present confirming the poor prognosis of discoedema occurring in the course of hypertension when left untreated. Hypertension was related to chronic poisoning with glycyrrhiza, and its hyperaldosteronism like effect. Pathogenesis of discoedema in malignant hypertension is discussed.
authors.affiliation: Service d'Ophtalmologie, Hôpital Avicenne, Bobigny.
authors.forename: A
authors.initials: A
authors.lastname: Garnier-Fabre
authors.forename: G
authors.initials: G
authors.lastname: Chaine
authors.forename: R
authors.initials: R
authors.lastname: Paquet
authors.forename: N
authors.initials: N
authors.lastname: Robert
authors.forename: L
authors.initials: L
authors.lastname: Fischbein
authors.forename: M
authors.initials: M
authors.lastname: Robineau
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005451:Fluorescein Angiography; D006034:Glycyrrhetinic Acid / Q000031:analogs & derivatives* / Q000506:poisoning; D019695:Glycyrrhizic Acid; D006801:Humans; D006973:Hypertension / Q000139:chemically induced* / Q000150:complications; D008297:Male; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology*; D012164:Retinal Diseases / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis
chemical_list: D019695:Glycyrrhizic Acid; D006034:Glycyrrhetinic Acid
vernacular_title: Rétinopathie hypertensive et oedème papillaire. A propos d'un cas d'intoxication par la glycyrrhizine.