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ARTERIOSCLEROSIS AND HYPERTENSION

JAMES P. O'HARE, M.D.; WILLIAM G. WALKER, M.D.
Arch Intern Med (Chic). 1924;33(3):343-349. doi:10.1001/archinte.1924.00110270064007.
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Some time ago, while making routine examinations of the eyegrounds in the medical wards, a finding of peculiar interest and of great importance was noted. A patient with typical advanced arteriosclerosis of the radial and brachial arteries had absolutely normal retinal vessels. It was assumed at the time that this was merely an accidental finding. Later, however, we observed the same phenomenon in another patient. Analyses of these two cases disclosed the fact that both patients had normal blood pressures. Among the more recent references to retinitis of circulatory disease are those of Schieck and Volhard,1 Benedict,2 Behan3 and Cohen.4 For the most part, these are descriptive of the lesions found in the retina, together with speculations on cause and effect. We were cognizant, of course, from Allbutt's writings and our own experience, that marked peripheral arteriosclerosis could occur with normal blood pressure. We were unaware, however, of any published

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