title: An unusual cause of headache and hypertension.
abstract: Children with both headache and hypertension present a relatively rare condition with a broad range of differential diagnoses in pediatric emergency medicine. Some possible diagnoses are potentially life-threatening conditions and merit aggressive evaluation management. We report a case of a 14-year-old girl who presented with headache and hypertension. She responded poorly to medical treatment and subsequently developed anxiety and difficulties with concentration. Three months later, she visited our ophthalmology department because of blurred vision. Ophthalmic evaluation revealed bilateral Kayser-Fleischer rings. Finally, she was diagnosed with Wilson disease. This case emphasizes that children with headache and hypertension merit aggressive evaluation and management.
authors.affiliation: Department of Pediatrics, Chang Gung Memorial Hospital at Keelung, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors.forename: Hsiang-Ju
authors.initials: HJ
authors.lastname: Hsiao
authors.forename: Ju-Li
authors.initials: JL
authors.lastname: Lin
authors.forename: Chang-Teng
authors.initials: CT
authors.lastname: Wu
authors.forename: Jainn-Jim
authors.initials: JJ
authors.lastname: Lin
authors.forename: Shao-Hsuan
authors.initials: SH
authors.lastname: Hsia
mesh_terms: D000293:Adolescent; D002614:Chelating Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis; D006527:Hepatolenticular Degeneration / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D014266:Trientine / Q000627:therapeutic use
chemical_list: D002614:Chelating Agents; D014266:Trientine