Garnier-Fabre A, Chaine G, Paquet R, Robert N, Fischbein L, Robineau M
Service d'Ophtalmologie, Hôpital Avicenne, Bobigny.
J Fr Ophtalmol. 1987;10(12):735-40.
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.
我们报告一例患者，根据Keith-Wagener分类法，该患者患有重度高血压和IV级高血压性视网膜病变。同时存在高血压脑病，这证实了高血压病程中出现的视盘水肿若不治疗预后不良。高血压与甘草慢性中毒及其类似醛固酮增多症的作用有关。本文讨论了恶性高血压视盘水肿的发病机制。
