贝赫特病呈现为由血管高血压引起的恶性高血压
Sho Kinguchi1,2, Misumi Tamura1, Rika Furuta1
1Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, 236-0004, Japan.
CEN case reports
|July 30, 2024
概括
血管 Behcet 的意思
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 类风湿病学 类风湿病学
- 血管医学 血管医学
背景情况:
- 高血压是贝赫特病的一个不常见的表现.
- 血管贝赫特病是血管高血压的不常见原因.
- 这一案例突出了年轻男性患有恶性高血压的罕见情况.
研究的目的:
- 报告一种恶性高血压病例.
- 为了研究与单边动脉狭窄的关联.
- 强调在特定的临床场景中考虑血管贝赫特病的重要性.
主要方法:
- 一个19岁的男性患有严重高血压和急性损伤的病例报告.
- 诊断工作包括成像 (CT血管造影) 和实验室测试 (血胆氨酸,阿尔多,炎症标志物).
- 血管贝赫特病的诊断是根据临床发现 (口腔口腔病变,毛囊炎,皮肤炎测试) 和血管干扰的确诊.
主要成果:
- 患者出现了恶性高血压 (222/140 mmHg),高血压视网膜病变和急性损伤.
- 图像扫描显示了右动脉和乳房动脉的严重狭窄.
- 建立了血管贝赫特病的诊断,导致了有针对性的治疗.
结论:
- 血管贝赫特病可以表现为恶性高血压,这是动脉狭窄的次要原因.
- 在患有血管高血压和炎症标志物升高的年轻男性中,应考虑血管贝赫特病.
- 及时诊断和管理对于控制血压和预防进一步的并发症至关重要.
相关概念视频
Hypertension and Regulation of Blood Pressure
2.0K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.0K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
413
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
413
Antihypertensive Drugs: Direct Renin Inhibitors
521
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
521
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
149
Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
149
Antihypertensive Drugs: Action of β1 Blockers
388
β1-receptors are primarily located in the heart and kidneys. In cardiac myocytes, these receptors interact with neurotransmitters released by the sympathetic nervous system during heightened activity or danger. As a result, β1-receptors get activated, initiating a series of biochemical processes. Excessive activation of beta receptors due to chronic stress can abnormally increase heart rate and contractility, resulting in high blood pressure or hypertension. To counteract this,...
388
Antihypertensive Drugs: Potassium-Sparing Diuretics
490
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
490


