Hypertensive crisis and end-organ damage induced by over-the-counter nasal decongestant abuse.

A 34-year-old male presented with blurred vision and frontal headache since 2 months due to papilloedema and hypertensive retinopathy stage IV [ Panel A , fluoroangiography showing peripapillary oedema, cotton wool spots (arrowhead), flame shaped haemorrhages (arrow)]. His blood pressure was 210/120 mmHg. He took no oral medication, but used xylometazoline nasal spray every …