Malignant hypertension (MHT) is a rare and life-threatening condition which
is defined clinically as severe hypertension accompanied by bilateral reti
nal haemorrhages and/or hard exudates, with or without papilloedema. If unt
reated, the prognosis of MHT is poor. With MHT being a relatively rare cond
ition, it would be unusual to see it on more than one occasion in the same
patient. We describe in detail two cases from a disease register of 400 cas
es of MHT seen in one medical centre over 33 years.