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Hypertension in Henoch-Schonlein purpura with minimal urinary findings

Lookup NU author(s): Dr Nadeem Moghal, Dr Malcolm Coulthard

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Abstract

Though hypertension is a common feature of Henoch-Schonlein purpura (HSP) acute nephritis, it is seen only rarely and transiently if renal function is normal and abnormal urinary findings are minimal. We report a 3.4 year old girl who had the typical arthritis and rash of HSP, but also had significant hypertension with only minimal urinary findings. Imaging investigations revealed one normal kidney, and one that was almost destroyed from previous reflux nephropathy; her hypertension resolved after unilateral nephrectomy. Other causes of hypertension should be excluded in children with HSP and minimal urinary findings.

Publication metadata

Author(s): Drummond PM, Moghal NE, Coulthard MG

Publication type: Article

Publication status: Published

Journal: Archives of Disease in Childhood

Year: 2001

Volume: 84

Issue: 2

Pages: 163-164

ISSN (print): 0003-9888

ISSN (electronic): 1468-2044

Publisher: BMJ Group

URL: http://dx.doi.org/10.1136/adc.84.2.163

DOI: 10.1136/adc.84.2.163

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