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Twenty-Year Medical History

PHILLIP L. ROSSMAN, M.D.; JULIUS H. WINER, M.D.

Arch Intern Med. 1961;108(4):588-593.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Experimental research revealed the relationship of renal disease to hypertension¹ and led clinicians to investigate cases of hypertension for unilateral renal lesions with the hope of restoring the blood pressure to normal by removal of the diseased kidney. Proof of cure requires long follow-up study because hypertension may temporarily recede after any surgery, only to become manifest at a later date. This case report is a 20-year medical history of severe malignant hypertension associated with hypertensive retinopathy and encephalopathy relieved by nephrectomy.

Report of a Case

At the age of 19 years, a white woman delivered a normal baby on March 24, 1939, after a normal pregnancy. The blood pressure at that time was 110 mm. Hg. systolic, and 70 mm. diastolic. Six weeks later she developed severe persistent headaches, tinnitus, visual difficulty, and a reported systolic blood pressure of "196." On May 11, 1939, after a severe headache, . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES; BEVERLY HILLS, CALIF.

Department of Surgery (Urology) University of California Medical Center, Los Angeles (Dr. Winer).

Footnotes
Submitted for publication July 12, 1960.

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