Hypertension and intermittent convulsions for one month in a school-age child

Childhood polyarteritis nodosa (PAN) is a rare systemic vasculitis and the delayed diagnosis and treatment will cause high incidence of sequelae and high mortality. This article reports a girl with childhood PAN due to posterior reversible encephalopathy syndrome (PRES). The girl aged ten years was...

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Bibliographic Details
Published in:Zhongguo dang dai er ke za zhi 2017-07, Vol.19 (7), p.816-819
Main Authors: Tian, Mao-Qiang, Liu, Shu-Yi, Li, Juan, Shu, Xiao-Mei
Format: Article
Language:Chinese
Subjects:
Child
Female
Humans
Hypertension - etiology
Polyarteritis Nodosa - diagnosis
Seizures - etiology
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Summary:Childhood polyarteritis nodosa (PAN) is a rare systemic vasculitis and the delayed diagnosis and treatment will cause high incidence of sequelae and high mortality. This article reports a girl with childhood PAN due to posterior reversible encephalopathy syndrome (PRES). The girl aged ten years was admitted to the hospital due to hypertension and convulsions for one month. She had complaints of headache, vomiting, and blurred vision before convulsions. At six months before admission, a mass was observed in the neck. The physical examination showed that she had hypertension and no abnormal findings in the central nervous system. The brain magnetic resonance imaging manifested long T1 and T2 signals, high signal intensities on fluid-attenuated inversion recovery (FLAIR) images, and iso-signal intensity on diffusion-weighted imaging in the white matter of the left occipital lobe. Therefore, the cause of convulsions was considered as PRES. Mass biopsy suggested PAN and no findings supported tuberculosis. The righ
ISSN:1008-8830