[Media sclerosis: a case of pseudohypertension].
A 51-year-old diabetic showed symptoms of a hypertensive crisis with a systolic blood pressure above 300 mmHg. The antihypertensive therapy failed and the Doppler-pressure values were also too high for all limb arteries. Duplex-sonography and soft-x-ray examination showed a mediasclerosis of arms and legs. The true pressure, measured at the still compressable arteries of the fingers was relatively low. There was symptomatic improvement after completion of the antihypertensive therapy.
Hübner
G H
GH
Klinik und Poliklinik für Innere Medizin III der Martin-Luther-Universität Halle-Wittenberg.
Köhler
A
A
Triebel
H J
HJ
Podhaisky
H
H
D001132:Arm / Q000098:blood supply*; D002114:Calcinosis / Q000175:diagnosis; D003925:Diabetic Angiopathies / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D006974:Hypertension, Malignant / Q000175:diagnosis*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012598:Sclerosis; D017540:Tunica Media; D018616:Ultrasonography, Doppler, Duplex
Mediasklerose: Ein Fall von Pseudohypertonie.