title: Diagnosis of malignant hypertension with ocular examination: a child case.
abstract: A 12-year-old female patient was admitted to our clinic complaining about low vision. Bilateral optic disc edema, macular star, and preretinal hemorrhages were found in fundoscopic examination. In fundus fluorescein angiography, massive leakage in the late phase was seen in the optic nerve head and macular area. These findings were compatible with high-grade hypertensive retinopathy. The patient consulted with pediatrics and a diagnosis of vesicourethral reflux and malignant hypertension was made.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Dicle University , Diyarbakir , Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Yıldırım
authors.forename: Fatih
authors.initials: F
authors.lastname: Mehmet Türkcü
authors.forename: Harun
authors.initials: H
authors.lastname: Yüksel
authors.forename: Alparslan
authors.initials: A
authors.lastname: Sahin
authors.forename: Yasin
authors.initials: Y
authors.lastname: Cınar
authors.forename: Ihsan
authors.initials: I
authors.lastname: Caça
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology; D002648:Child; D017292:Doxazosin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004656:Enalapril / Q000627:therapeutic use; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D006974:Hypertension, Malignant / Q000175:diagnosis* / Q000188:drug therapy; D007429:Intraocular Pressure / Q000502:physiology; D009543:Nifedipine / Q000627:therapeutic use; D010211:Papilledema / Q000175:diagnosis* / Q000188:drug therapy; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy; D041623:Tomography, Optical Coherence; D014065:Tonometry, Ocular; D014665:Vasodilator Agents / Q000627:therapeutic use; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000959:Antihypertensive Agents; D014665:Vasodilator Agents; D004656:Enalapril; D009543:Nifedipine; D017292:Doxazosin