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The term "malignant hypertension" has been used in slightly different senses by previous writers, but generally implies severe elevation of the blood-pressure with very limited prognosis if untreated. Ophthalmoscopically, the malignant phase is characterized by retinal haemorrhages, exudates, and papilloedema. Histologically the essential lesion is fibrinoid arteriolar necrosis, especially of the afferent glomerular arterioles. ( a) Relationship between Retinopathy and Renal Histology
Brown et al. (Sat,) studied this question.
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