Clinical features of renovascular hypertension in infancy: report of a 9-month-old infant

Certain common but seldom recognized clinical features of renovascular hypertension peculiar to infancy are emphasized in this communication from the observations made in a 9-month-old infant. Failure to thrive, extreme irritability, hypotonia, anorexia, vomiting, diarrhea, respiratory distress, and...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1975-07, Vol.56 (1), p.108-110
Main Authors: Makker, S P, Lubahn, J D
Format: Article
Language:English
Subjects:
Age Factors
Angiography
Blood Pressure
Diagnosis, Differential
Female
Heart Diseases - diagnosis
Heart Diseases - diagnostic imaging
Heart Diseases - etiology
Humans
Hypertension, Renal - complications
Hypertension, Renal - diagnosis
Hypertension, Renal - surgery
Infant
Nephrectomy
Renal Artery Obstruction - diagnostic imaging
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Summary:Certain common but seldom recognized clinical features of renovascular hypertension peculiar to infancy are emphasized in this communication from the observations made in a 9-month-old infant. Failure to thrive, extreme irritability, hypotonia, anorexia, vomiting, diarrhea, respiratory distress, and congestive heart failure are common clinical findings. Unless the physician is aware of this symptomatology or blood pressure is routinely obtained in all infants, the condition is likely to be missed. Renovascular hypertension is malignant and carries a high mortality but if diagnosed early may be cured by surgical intervention.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.56.1.108