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The available literature is scarce on the initial symptoms of arterial hypertension in children. Our study aimed to analyze the initial clinical profile of patients referred to the hospital with suspected hypertension and those diagnosed with hypertension for the first time during a hospitalization for other reasons. This study was a retrospective analysis of medical records in 471 patients. More than half of the patients showed no symptoms. The most common symptom reported was a headache—28% (132) of patients. The diagnosis of elevated blood pressure or hypertension was more frequent in asymptomatic patients (P = 0.001). Headaches were seen more often in healthy patients than in patients with hypertension. Newly diagnosed hypertension is mainly diagnosed in asymptomatic children. Moreover, the symptoms previously described in the literature as the most common did not prove to be predictive of hypertension in our study. [ABSTRACT FROM AUTHOR]

Introduction: IgA-associated vasculitis (IgA vasculitis, IgAV), formerly known as Henoch-Schönlein purpura, is the most common systemic inflammation of the small vessels in children. The disease most often affects the skin, joints, digestive tract and kidneys. It is usually characterised by a mild and self-limiting course and full recovery within a few weeks. The paper presents the cases of patients with severe and complicated IgAV. Case report: In both cases, the kidneys were affected by the disease. The first patient had rare necrotic skin changes and splenic infarction not previously described. The second patient developed hypertension and nephropathy with nephrotic proteinuria. Conclusions: IgA-associated vasculitis can have a severe course and produce rare complications. Patients may require non-standard individualised management as well as long-term clinical observation to monitor renal function parameters and complications of the treatment. [ABSTRACT FROM AUTHOR]

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