Lookup NU author(s): Dr Nadeem Moghal,
Dr Malcolm Coulthard
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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.
Author(s): Drummond PM, Moghal NE, Coulthard MG
Publication type: Article
Publication status: Published
Journal: Archives of Disease in Childhood
ISSN (print): 0003-9888
ISSN (electronic): 1468-2044
Publisher: BMJ Group
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