Persistent severe hypertension in an infant with posterior urethral valves.
Severe hypertension, an infrequent problem in pediatrics, usually has a single secondary cause. We report an infant with severe hypertension and left reflux nephropathy, a known cause of secondary hypertension. The severity of hypertension and poor response to pharmacological therapy prompted further investigation, including a renal arteriogram that showed a right segmental renal artery stenosis.
Muchant
D G
DG
Division Pediatric Nephrology, University of West Virginia, Morgantown, USA.
Gloor
J M
JM
Norling
L L
LL
D000792:Angiography; D002675:Child, Preschool; D003558:Cystoscopy; D006801:Humans; D006978:Hypertension, Renovascular / Q000151:congenital* / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D012079:Renal Circulation / Q000502:physiology; D014521:Urethra / Q000002:abnormalities* / Q000000981:diagnostic imaging