Case Report

A 45-year-old man dies suddenly and unexpectedly. The immediate cause of death is found to be a hemorrhage in the right basal ganglia region. On microscopic examination his renal artery branches have concentric endothelial cell proliferation which markedly narrows the lumen, resulting in focal ischemia and hemorrhage of the renal parenchyma. An elevation in which of the following substances in his blood is most likely to be associated with these findings?

A Ammonia

B Calcium

C Cholesterol

D Renin

E Troponin I

F Triglyceride

G C-reactive protein

Answer & Explanation:

The findings suggest hyperplastic arteriolosclerosis, which accompanies malignant hypertension.