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Difference between revisions of "Hypertension"
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*[[Diabetes mellitus]] has changes in the afferent and efferent arteriole (see ''[[medical kidney diseases]]''). | *[[Diabetes mellitus]] has changes in the afferent and efferent arteriole (see ''[[medical kidney diseases]]''). | ||
==Malignant hypertension== | |||
===General=== | |||
*A medical emergency. | |||
Prognosis: | |||
*Depends on the acute rise in blood pressure.<ref name=pmid14689106>{{Cite journal | last1 = Gegenhuber | first1 = A. | last2 = Lenz | first2 = K. | title = [Hypertensive emergency and urgence]. | journal = Herz | volume = 28 | issue = 8 | pages = 717-24 | month = Dec | year = 2003 | doi = 10.1007/s00059-003-2506-8 | PMID = 14689106 }}</ref> | |||
*Usu. better than with [[HUS]].<ref name=pmid18497467>{{Cite journal | last1 = Zhang | first1 = B. | last2 = Xing | first2 = C. | last3 = Yu | first3 = X. | last4 = Sun | first4 = B. | last5 = Zhao | first5 = X. | last6 = Qian | first6 = J. | title = Renal thrombotic microangiopathies induced by severe hypertension. | journal = Hypertens Res | volume = 31 | issue = 3 | pages = 479-83 | month = Mar | year = 2008 | doi = 10.1291/hypres.31.479 | PMID = 18497467 }}</ref> | |||
Defined as:<ref name=pmid14689106/> | |||
*>220 mmHg systolic BP. | |||
*>120 mmHg diastolic BP. | |||
===Microscopic=== | |||
Features: | |||
*See: ''[[thrombotic microangiopathy]]''. | |||
Histomorphologic DDx (thrombotic microangiopathy): | |||
*[[HUS]]. | |||
*[[TTP]]. | |||
*[[DIC]]. | |||
*Scleroderma renal crisis. | |||
*[[ALPA syndrome]]. | |||
*Drug reaction, e.g. calcineurin inhibitors. | |||
==See also== | ==See also== | ||