An unusual cause of headache and hypertension

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...

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Bibliographic Details
Published in:The American journal of emergency medicine 2013, Vol.31 (1), p.272.e5-272.e6
Main Authors: Hsiao, Hsiang-Ju, Lin, Ju-Li, Wu, Chang-Teng, Lin, Jainn-Jim, Hsia, Shao-Hsuan
Format: Article
Language:English
Subjects:
Adolescent
Blood pressure
Chelating Agents - therapeutic use
Copper
Diagnosis, Differential
Emergency
Emergency medical care
Female
Headache - diagnosis
Headaches
Hepatolenticular Degeneration - diagnosis
Hepatolenticular Degeneration - drug therapy
Hospitals
Humans
Hypertension
Hypertension - diagnosis
Medical treatment
Tomography
Trientine - therapeutic use
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Summary: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.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2012.05.010