Kidney Res Clin Pract.
2014 Jun;33(2):103-105.
Thrombotic microangiopathy resulting from neglected blood pressure control
- Affiliations
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- 1Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea. kpkang@chonbuk.ac.kr
- 2Department of Pathology, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea.
Abstract
- Hypertensive nephrosclerosis is usually associated with chronic hypertension, which increases the risk of progressive renal disease. Among the causes of malignant hypertension, thrombotic microangiopathy is complicated and is associated with renal dysfunction at the time of diagnosis. In this case, a young man with hypertension presented with renal failure and thrombocytopenia in the emergency department. This case emphasizes the importance of early recognition of renal failure and thrombocytopenia among patients with uncontrolled hypertension.