The authors describe the case of a 16-year-old male who was incidentally found to have a blood pressure of 200/? mmHg 6 months previously due to blurred vision and was diagnosed with “high risk of hypertension grade 3, renal insufficiency, hypertensive encephalopathy, hypertensive heart disease, and fundus hemorrhage” after relevant examinations were performed. His blood pressure fluctuated around 120/90 mmHg after beginning antihypertensive treatment. While the diagnostic work-up of his hypertension was inconclusive, he had severe hypertension with brachydactyly type E and short stature on physical examination. The patient's cardiac damage and renal insufficiency ultimately returned to normal after strict blood pressure control, suggesting that hypertension and brachydactyly syndrome alone do not cause cardiac and renal damage.

中文翻译：

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青少年高血压患者心脏和肾脏损伤的逆转：病例报告

作者描述了一名 16 岁男性的案例，他被偶然发现血压为 200/? 6个月前因视力模糊，经相关检查诊断为“高血压3级、肾功能不全、高血压脑病、高血压心脏病、眼底出血高危人群”。开始降压治疗后，他的血压波动在120/90 mmHg左右。虽然他的高血压诊断检查尚无定论，但体检时发现他患有严重高血压、E 型短指和身材矮小。在严格控制血压后，患者的心脏损害和肾功能不全最终恢复正常，提示单纯高血压和短指综合征不会引起心脏和肾脏损害。