{"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-individua-un-segno-atipico-di-danno-dorgano-bersaglio","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/it\/elschnigs-spots-an-atypical-sign-of-target-organ-damage\/","title":{"rendered":"Macchie di Elschnigs, un segno atipico di danno d&#039;organo bersaglio"},"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>Se desideri riutilizzare tutto o parte di questo articolo, utilizza il link sottostante che ti porter\u00e0 al servizio RightsLink del Copyright Clearance Center. Sarai in grado di ottenere un prezzo rapido e un permesso immediato per riutilizzare il contenuto in molti modi diversi.<\/p>\n<p><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e38?rss=1\">Fonte quotidiana medica<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Una donna di 42 anni con ipertensione arteriosa e malattia renale allo stadio terminale si \u00e8 presentata al pronto soccorso per dispnea acuta e mal di testa. La sua pressione sanguigna era 210\/130 mmHg. La radiografia del torace ha mostrato edema polmonare, per il quale \u00e8 stata fatta diagnosi di emergenza ipertensiva. \u00c8 stata trattata con nitroglicerina e furosemide per via endovenosa, mostrando un miglioramento. Alla dimissione \u00e8 stata indirizzata all&#039;oculistica per un&#039;acuit\u00e0 visiva di 20\/50 in entrambi gli occhi. L&#039;esame del fondo oculare ha rivelato retinopatia ipertensiva e macchie di Elschnig (<cross-ref type=\"fig\" refid=\"F1\">figure 1 e 2<\/cross-ref><cross-ref type=\"fig\" refid=\"F2\"><\/cross-ref>) prevalentemente nei quadranti temporali (<cross-ref type=\"fig\" refid=\"F3\">figura 3<\/cross-ref>).<\/p>\n<p>Le macchie di Elschnig (ES) furono descritte per la prima volta nel 1904 come piccole lesioni iperpigmentate sul fondo dell&#039;occhio circondate da un alone bianco-giallastro, che rappresentano ammassi di pigmento circondati da cellule necrotiche dell&#039;epitelio pigmentato e fibrosi obliterante dei coriocapillari secondaria a grave ipertensione acuta.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref> Anche gli ES acuti che compaiono nelle prime ore di insorgenza dell&#039;ipertensione sono stati descritti come biancastri...<\/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\/it\/elschnigs-individua-un-segno-atipico-di-danno-dorgano-bersaglio\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\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\/it\/elschnigs-individua-un-segno-atipico-di-danno-dorgano-bersaglio\/\" \/>\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=\"Scritto da\" \/>\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\":\"it-IT\"},{\"@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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Elschnig'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...","og_url":"https:\/\/urbancare.clinic\/it\/elschnigs-individua-un-segno-atipico-di-danno-dorgano-bersaglio\/","og_site_name":"Urban Care Clinic","article_publisher":"https:\/\/www.facebook.com\/urbancarezanzibar","article_published_time":"2022-11-22T10:00:22+00:00","article_modified_time":"2023-05-23T14:37:35+00:00","og_image":[{"url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/elschnigs-spots-an-atypical-sign-of-target-organ-damage.jpg","width":1024,"height":1024,"type":"image\/jpeg"}],"author":"Urban Care Clinic","twitter_card":"summary_large_image","twitter_misc":{"Scritto da":"Urban Care Clinic"},"schema":{"@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":"it-IT"},{"@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":"Macchie di Elschnigs, un segno atipico di danno d&#039;organo bersaglio - 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