Malignant nephrosclerosis is the renal manifestation of malignant hypertension. There are three histological changes that are seen in the kidney with malignant hypertension:
1) fibrinoid necrosis of the arterioles,
2) hyperplastic arteriolosclerosis, also called onion-skinning of the arterioles, seen in the vessel in the center of the screen and
3) glomerulitis seen in the hypercellular glomerulus at 7 o'clock on the screen.
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