A TALE OF TWO SYSTEMS: MALIGNANT HYPERTENSION PRESENTING WITH PAINLESS HEMATURIA AND ACUTE PULMONARY EDEMA — A DIAGNOSTIC ODYSSEY
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| Format: | Recurso digital |
| Language: | English |
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Zenodo
2026
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| _version_ | 1866901096772927488 |
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| author | Meenakumari1, Rathnakumar G.2, Dr. Arun Muraleedharan3* |
| author_facet | Meenakumari1, Rathnakumar G.2, Dr. Arun Muraleedharan3* |
| contents | <p><span>Malignant hypertension is an acute, life-threatening form of severe hypertension characterized by rapidly progressive target-organ damage involving the kidneys, retina, central nervous system, and cardiovascular system. Early recognition is critical to prevent irreversible injury. We report the case of a previously healthy 35-year-old man presenting with one week of painless macroscopic hematuria followed by sudden-onset dyspnea with pink frothy sputum. Evaluation revealed severely elevated blood pressure, grade 4 hypertensive retinopathy, acute pulmonary edema, proteinuric hematuria, hypokalemia, and acute kidney injury. The patient required non-invasive ventilation, intravenous antihypertensive therapy, and multiple sessions of hemodialysis. This case highlights the importance of recognizing hematuria as an early manifestation of hypertensive renal microangiopathy and emphasizes the multi-system involvement that characterizes malignant hypertension.</span></p> |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_5281_zenodo_18795830 |
| institution | Zenodo |
| language | eng |
| publishDate | 2026 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | A TALE OF TWO SYSTEMS: MALIGNANT HYPERTENSION PRESENTING WITH PAINLESS HEMATURIA AND ACUTE PULMONARY EDEMA — A DIAGNOSTIC ODYSSEY Meenakumari1, Rathnakumar G.2, Dr. Arun Muraleedharan3* <p><span>Malignant hypertension is an acute, life-threatening form of severe hypertension characterized by rapidly progressive target-organ damage involving the kidneys, retina, central nervous system, and cardiovascular system. Early recognition is critical to prevent irreversible injury. We report the case of a previously healthy 35-year-old man presenting with one week of painless macroscopic hematuria followed by sudden-onset dyspnea with pink frothy sputum. Evaluation revealed severely elevated blood pressure, grade 4 hypertensive retinopathy, acute pulmonary edema, proteinuric hematuria, hypokalemia, and acute kidney injury. The patient required non-invasive ventilation, intravenous antihypertensive therapy, and multiple sessions of hemodialysis. This case highlights the importance of recognizing hematuria as an early manifestation of hypertensive renal microangiopathy and emphasizes the multi-system involvement that characterizes malignant hypertension.</span></p> |
| title | A TALE OF TWO SYSTEMS: MALIGNANT HYPERTENSION PRESENTING WITH PAINLESS HEMATURIA AND ACUTE PULMONARY EDEMA — A DIAGNOSTIC ODYSSEY |
| url | https://doi.org/10.5281/zenodo.18795830 |