{"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-detecte-un-signe-atypique-de-lesion-dun-organe-cible","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/fr\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\/","title":{"rendered":"Taches d&#039;Elschnigs, un signe atypique de l\u00e9sion d&#039;un organe cible"},"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>Si vous souhaitez r\u00e9utiliser tout ou partie de cet article, veuillez utiliser le lien ci-dessous qui vous m\u00e8nera au service RightsLink du Copyright Clearance Center. Vous pourrez obtenir un prix rapide et une autorisation instantan\u00e9e de r\u00e9utiliser le contenu de diff\u00e9rentes mani\u00e8res.<\/p>\n<p><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e38?rss=1\">Source quotidienne m\u00e9dicale<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>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&#8217;s spots (<cross-ref type=\"fig\" refid=\"F1\">figures 1 and 2<\/cross-ref><cross-ref type=\"fig\" refid=\"F2\"><\/cross-ref>) predominantly in temporal quadrants (<cross-ref type=\"fig\" refid=\"F3\">figure 3<\/cross-ref>).<\/p>\n<p>Elschnig&#8217;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.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref> Acute ES that appear in the first hours of hypertensive uncontrol have also been described as whitish&#8230;<\/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\/fr\/elschnigs-detecte-un-signe-atypique-de-lesion-dun-organe-cible\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\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\/fr\/elschnigs-detecte-un-signe-atypique-de-lesion-dun-organe-cible\/\" \/>\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=\"\u00c9crit par\" \/>\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\":\"fr-FR\"},{\"@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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