PMID: 9438659Jan 23, 1998Paper

Severe hypertension without urinary abnormalities in a patient with Henoch-Schönlein purpura

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
D A WhyteN J Siegel

Abstract

Hypertension as a complication of Henoch-Schönlein purpura (HSP) is almost uniformly accompanied by evidence of renal involvement, either decreased renal function or urinary abnormalities. We report a 4.5-year-old male with HSP who developed severe hypertension without other manifestations of glomerulonephritis, including no decline in renal function and no development of urinary abnormalities. Extensive evaluation for other identifiable causes for his hypertension was not productive. His hypertension resolved with the resolution of his HSP. This case demonstrates that patients with HSP may on occasion develop severe hypertension without other evidence of nephritis. An extensive evaluation for other causes of severe hypertension may be deferred in this setting until well after all other manifestations of HSP have resolved.

Citations

Aug 10, 2001·The Nurse Practitioner·C A Klein
Oct 15, 2009·Journal of Paediatrics and Child Health·Saber HammamiMohamed N Guediche
Feb 13, 2001·Archives of Disease in Childhood·P M DrummondM G Coulthard
May 30, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·S DarteyreD Morin
Feb 24, 2006·Annals of Tropical Paediatrics·Murat CakirAysenur Okten
Aug 8, 2013·Clinical Pediatrics·Stephen BalevicMichelle Amaya
Jul 15, 2005·Clinical Pediatrics·Naomi NussinovitchMoshe Nussinovitch

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