Hypertension and facial palsy in middle aortic syndrome.
A female infant presented with facial palsy and was found to be severely hypertensive. Plasma renin activity was raised and an angiogram showed middle aortic syndrome. This condition is of unknown aetiology, but positive antineutrophil cytoplasmic antibodies may indicate a vasculitis which heals by intimal fibrosis, causing the observed findings.
Lewis
V E
VE
Children's Renal Unit, Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ, UK. vaughan_lewis@hotmail.com
Peat
D S
DS
Tizard
E J
EJ
D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001024:Aortic Valve Stenosis / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D004359:Drug Therapy, Combination; D005158:Facial Paralysis / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology* / Q000276:immunology; D007223:Infant; D012083:Renin / Q000097:blood; D013577:Syndrome
D019268:Antibodies, Antineutrophil Cytoplasmic; D000959:Antihypertensive Agents; D012083:Renin