{"id":7537,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\/"},"modified":"2023-05-23T17:37:35","modified_gmt":"2023-05-23T14:37:35","slug":"elschnigs-erkennt-ein-atypisches-zeichen-einer-zielorganschadigung","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/de\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\/","title":{"rendered":"Elschnigflecken, ein atypisches Zeichen einer Zielorgansch\u00e4digung"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/elschnigs-spots-an-atypical-sign-of-target-organ-damage.jpg\" class=\"ff-og-image-inserted\"  style=\"display:none\"><\/div>\n<p>Wenn Sie einen Teil oder den gesamten Artikel wiederverwenden m\u00f6chten, verwenden Sie bitte den untenstehenden Link, der Sie zum RightsLink-Dienst des Copyright Clearance Center f\u00fchrt. Sie erhalten einen schnellen Preis und die sofortige Erlaubnis, den Inhalt auf viele verschiedene Arten wiederzuverwenden.<\/p>\n<p><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e38?rss=1\">Medizinische t\u00e4gliche Quelle<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Eine 42-j\u00e4hrige Frau mit arterieller Hypertonie und Nierenversagen im Endstadium stellte sich wegen akuter Dyspnoe und Kopfschmerzen in der Notaufnahme vor. Ihr Blutdruck betrug 210\/130 mmHg. Die R\u00f6ntgenaufnahme des Brustkorbs zeigte ein Lungen\u00f6dem, f\u00fcr das die Diagnose eines hypertensiven Notfalls gestellt wurde. Sie wurde mit intraven\u00f6s verabreichtem Nitroglycerin und Furosemid behandelt, was zu einer Besserung f\u00fchrte. Bei der Entlassung wurde sie wegen einer Sehsch\u00e4rfe von 20\/50 auf beiden Augen an die Augenklinik \u00fcberwiesen. Die Fundusuntersuchung ergab eine hypertensive Retinopathie und Elschnig-Flecken (<cross-ref type=\"fig\" refid=\"F1\">Abbildungen 1 und 2<\/cross-ref><cross-ref type=\"fig\" refid=\"F2\"><\/cross-ref>) \u00fcberwiegend in temporalen Quadranten (<cross-ref type=\"fig\" refid=\"F3\">Figur 3<\/cross-ref>).<\/p>\n<p>Elschnig-Flecken (ES) wurden erstmals im Jahr 1904 als kleine hyperpigmentierte L\u00e4sionen am Augenhintergrund beschrieben, die von einem gelblich-wei\u00dfen Hof umgeben sind. Es handelt sich dabei um Pigmentansammlungen, die von nekrotischen Zellen des pigmentierten Epithels und einer obliterierenden Fibrose der Choriokapillaren infolge einer schweren, akuten Hypertonie umgeben sind.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref> Akute ES, die in den ersten Stunden einer unkontrollierten Hypertonie auftreten, werden auch als wei\u00dflich beschrieben \u2026<\/p>","protected":false},"author":2,"featured_media":7538,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/elschnigs-spots-an-atypical-sign-of-target-organ-damage.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[198],"class_list":["post-7537","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles","tag-blood-pressure"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Elschnigs spots, an atypical sign of target organ damage - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/de\/elschnigs-erkennt-ein-atypisches-zeichen-einer-zielorganschadigung\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Elschnigs spots, an atypical sign of target organ damage - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A 42-year-old woman with arterial hypertension and end-stage kidney disease presented to the emergency department for acute dyspnoea and headache. Her blood pressure was 210\/130 mmHg. Chest X-ray showed pulmonary oedema, for which the diagnosis of hypertensive emergency was made. She was treated with intravenous nitroglycerin and furosemide, showing improvement. At discharge she was referred to ophthalmology for visual acuity of 20\/50 in both eyes. Fundus examination revealed hypertensive retinopathy and Elschnig&#039;s spots (figures 1 and 2) predominantly in temporal quadrants (figure 3). Elschnig&#039;s spots (ES) were first described in 1904 as small hyperpigmented lesions on the fundus surrounded by a yellowish-white halo, which represent pigment clusters surrounded by necrotic cells of the pigmented epithelium and obliterative fibrosis of choriocapillaries secondary to severe acute hypertension.1 Acute ES that appear in the first hours of hypertensive uncontrol have also been described as whitish...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/de\/elschnigs-erkennt-ein-atypisches-zeichen-einer-zielorganschadigung\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-23T14:37:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/elschnigs-spots-an-atypical-sign-of-target-organ-damage.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Elschnigs spots, an atypical sign of target organ damage\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"dateModified\":\"2023-05-23T14:37:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/\"},\"wordCount\":60,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage.jpg\",\"keywords\":[\"Blood Pressure\"],\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\\\/\",\"name\":\"Elschnigs spots, an atypical sign of target organ damage - 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