Key result
Malignant hypertension presented with isolated reduced visual acuity and an initial blood pressure of 249/165 mm Hg in a 48-year-old man with no prior medical history.
This case highlights that malignant hypertension can present with isolated visual symptoms.
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Visual loss may be the sole presenting feature of malignant hypertension; extends recognized presentations but leaves open need for prospective data.
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Tanner et al. (2020) studied this question. Malignant hypertension presented with isolated reduced visual acuity and an initial blood pressure of 249/165 mm Hg in a 48-year-old man with no prior medical history.
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