Polycythaemia and hypertension caused by renal artery stenosis.
A girl with failure to thrive and a haemoglobin of 140 g/l at 1.3 years died from a brain haemorrhage 2.5 years later. Renal artery stenosis had caused severe, chronic hypertension and increased erythropoietin secretion (haemoglobin 182 g/l). Blood pressure should be measured in all unwell children, including those failing to thrive.
Coulthard
M G
MG
Department of Paediatric Nephrology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK. malcolm.coulthard@ncl.ac.uk
Lamb
W H
WH
D001933:Brain Stem; D002543:Cerebral Hemorrhage / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007223:Infant; D011086:Polycythemia / Q000209:etiology*; D012078:Renal Artery Obstruction / Q000150:complications*