Hypertensive retinopathy mimicking neuroretinitis in a twelve-year-old girl.
Bilateral disk swelling and marked peripapillary and macular exudates were found on routine ophthalmologic examination in a 12 1/2-year-old girl. Eleven months later, with persistent findings, her blood pressure was found to be extremely elevated. She had an Ask-Upmark kidney, a rare form of segmental renal hypoplasia. The Ask-Upmark kidney abnormality occurs primarily in young women and is associated with hypertension. The disk edema and retinopathy resolved after the hypertension was controlled. Hypertensive retinopathy can sometimes resemble neuroretinitis.
Leavitt
J A
JA
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.
Pruthi
S
S
Morgenstern
B Z
BZ
D002648:Child; D003937:Diagnosis, Differential; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007668:Kidney / Q000002:abnormalities; D008266:Macula Lutea / Q000378:metabolism; D009898:Optic Disk / Q000378:metabolism; D009902:Optic Neuritis / Q000175:diagnosis*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology*; D012173:Retinitis / Q000175:diagnosis*