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Malignant arterial hypertension in a 2-month-old girl: Etiological diagnosis and treatment.
- Source :
-
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2022 Oct; Vol. 29 (7), pp. 537-539. Date of Electronic Publication: 2022 Aug 05. - Publication Year :
- 2022
-
Abstract
- A 2-month-old girl presented with malignant arterial hypertension revealing bilateral renal artery stenosis secondary to neurofibromatosis type 1 (NF1). Life-supporting care was initiated immediately. High-dose peripheral vasodilator therapy induced life-threatening toxicity; vascular surgery was therefore performed. Technical difficulties due to the young age and low body weight of the patient resulted in fatal bleeding. Renovascular disease is an important cause of pediatric hypertension. NF1-associated renovascular hypertension in young pediatric patients is rare, and its highly specialized management is best delivered via a multidisciplinary approach. The long-term prognosis remains poor.<br />Competing Interests: Conflicts of interest None.<br /> (Copyright © 2022 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Child
Female
Humans
Infant
Vasodilator Agents
Hypertension complications
Hypertension, Malignant diagnosis
Hypertension, Malignant etiology
Hypertension, Malignant therapy
Hypertension, Renovascular diagnosis
Hypertension, Renovascular etiology
Hypertension, Renovascular therapy
Neurofibromatosis 1 complications
Neurofibromatosis 1 diagnosis
Neurofibromatosis 1 therapy
Renal Artery Obstruction complications
Renal Artery Obstruction diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1769-664X
- Volume :
- 29
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
- Publication Type :
- Academic Journal
- Accession number :
- 35934604
- Full Text :
- https://doi.org/10.1016/j.arcped.2022.06.003