Email this article HYPERTENSIVE ANGIORETINOPATHY IN A CHILD WITH PHEOCHROMOCYTOMA. CLINICAL CASE
- Authors: Denisova E.V1, Osipova N.A1, Katargina L.A1
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Affiliations:
- The Helmholtz Moscow Research Institute of Eye Disease, Russian Ministry of Health
- Issue: Vol 13, No 4 (2018)
- Pages: 189-192
- Section: Articles
- URL: https://journals.rcsi.science/1993-1859/article/view/39611
- DOI: https://doi.org/10.18821/1993-1859-2018-13-4-189-192
- ID: 39611
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Abstract
Purpose: to present a clinical case of a child with hypertensive retinopathy developed against the background of undiagnosed pheochromacytoma and primarily regarded as neuroretinitis. The description of the case shows that a comprehensive examination of the child together with a pediatrician and endocrinologist allowed to identify the etiology of the pathological process and choose the right treatment strategy. Discussion. It is important to note that the alertness of the pediatric ophthalmologist in terms of the development of hypertensive retinal angiopathy is reduced. Arterial hypertension in children is much less common than in adults, and cases of hypertensive retinal lesions in children are rare. This can lead to a number of errors in the diagnosis and treatment of eye pathology, as well as underestimation of the severity of the General somatic condition of the child, in this connection it is important to emphasize the importance of close interdisciplinary cooperation in the examination and treatment of children of ophthalmic profile.
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##article.viewOnOriginalSite##About the authors
E. V Denisova
The Helmholtz Moscow Research Institute of Eye Disease, Russian Ministry of HealthMoscow, 105062, Russian Federation
N. A Osipova
The Helmholtz Moscow Research Institute of Eye Disease, Russian Ministry of Health
Email: natashamma@mail.ru
канд. мед. наук, врач-офтальмолог офтальмологического отделения (детской хирургии) ФГБУ «МНИИ ГБ им. Гельмгольца» Минздрава России Moscow, 105062, Russian Federation
L. A Katargina
The Helmholtz Moscow Research Institute of Eye Disease, Russian Ministry of HealthMoscow, 105062, Russian Federation
References
- Копаева В. Г. Глазные болезни: Учебное пособие. М.: Медицина; 2008.
- Konstantinidis L., Guex-Crosier Y. Hypertension and the eye. Curr. Opin. Ophthalmol. 2016; 27(6): 514-21.
- Narayan S.K., Kaliaperumal S., Srinivasan R. Neuroretinitis, a great mimicker. Ann. Indian Acad. Neurol. 2008; 11(2): 109-13. doi: [10.4103/0972-2327.41879].
- Ray S., Gragoudas E. Neuroretinitis. Int. Ophthalmol. Clin. 2001; 41: 83-102.
- Kahloun R., Khairallah-Ksiaa I., Abroug N., Mahmoud A., et al. Final diagnosis in patients referred with a diagnosis of neuroretinitis. Neuroophthalmology. 2015; 39(6): 266-70. doi: [10.3109/01658107.2015.1092561].
- Purvin V., Sundaram S., Kawasaki A. Neuroretinitis: review of the literature and new observations. J. Neuroophthalmol. 2011;31:58-68.
- Chriestlieb A.R. Hypertension. In: Albert D.M., Jakobiec F.A., eds. Principles and practice of ophthalmology. Philadelphia: WB Saundres Co; 1994: 2868-73.
- Rosas-Peralta M., Medina-Concebida L.E., Borrayo-Sánchez G., Madrid-Miller A., Ramírez-Arias E., Pérez-Rodríguez G. Systemic arterial hypertension in child and adolescent. Rev. Med. Inst. Mex. Seguro. Soc. 2016; 54 Suppl 1:s52-66.
- I-Linn Z.L., Long Q.B. An unusual cause of acute bilateral optic disk swelling with macular star in a 9-year-old girl. J. Pediatr. Ophthalmol. Strabismus.2007; 44: 245-7.
- Leavitt J.A., Pruthi S., Morgenstern B.Z. Hypertensive retinopathy mimicking neuroretinitis in a twelve-year old girl. Surv. Ophthalmol. 1997; 41: 477-80.
- Taylor D., Ramsay J., Day S., Dillon M. Infarction of the optic nerve head in children with accelerated hypertension. Br. J. Ophthalmol. 1981; 65:153-60.
- Kannel W.B. Risk stratification in hypertension: new insights from the Framingham Study. Am. J. Hypertens. 2000; 13(1 Pt 2): 3S-10S.
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