Renal hypertension: an unusual cause for a common problem.
A 9-year-old girl with longstanding headaches presented acutely with rash, which disappeared quickly on treatment with oral phenoxymethylpenicillin. It was attributed to streptococcal infection as group A streptococcus was isolated from throat swab. She was incidentally found to have high blood pressure on routine screening on admission. Subsequently, 'fibromuscular dysplasia' was confirmed on renal angiogram, which showed a characteristic beaded appearance. It is a good clinical practice to check blood pressure in any child seen for whatever reason.
Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8AE, UK.
M Amjad
MA
Khan
A V
AV
Ramanan
Paula
P
Murphy
Moin A
MA
Saleem
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005352:Fibromuscular Dysplasia / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006261:Headache / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis*; D013297:Streptococcus pyogenes