A 31 year old woman with essential hypertension grade III and branch retinal vein occlusion with homozygous C677T MTHFR hyperhomocysteinemia and high Lp(a) levels

Int J Cardiol. 2010 Sep 3;143(3):e42-4. doi: 10.1016/j.ijcard.2008.12.015. Epub 2009 Jan 9.

Abstract

We report a 31-year old woman with essential hypertension grade III and history of branch retinal vein occlusion in the setting of hyperhomocysteinemia due to homozygous MTHFR gene mutation and elevated Lp(a). The patient was treated successfully with antihypertensive treatment, acetylsalicylic acid and multivitamin complex supplementation.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Antihypertensive Agents / therapeutic use
  • Aspirin / therapeutic use
  • Female
  • Humans
  • Hyperhomocysteinemia / complications*
  • Hyperhomocysteinemia / genetics*
  • Hyperhomocysteinemia / metabolism
  • Hypertension / complications*
  • Hypertension / drug therapy
  • Lipoprotein(a) / blood
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics*
  • Point Mutation
  • Retinal Vein Occlusion / drug therapy
  • Retinal Vein Occlusion / etiology*
  • Vitamins / therapeutic use

Substances

  • Antihypertensive Agents
  • Lipoprotein(a)
  • Vitamins
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • Aspirin