Kawasaki disease complicated by renal artery stenosis
- aDepartment of Nephrology, Montreal Children's Hospital, McGill University, 2300 Tupper Ave, Montreal, QC H3H 1P3, Canada, bDepartment of Pathology, Montreal Children's Hospital
- Dr Foster email:
- Accepted 12 May 2000
We report the case of a child who developed severe renovascular hypertension six months after acute Kawasaki disease. The hypertension was well controlled with enalapril, but there was a gradual decrease in function of the affected kidney. The lesion, an ostial stenosis of the right main renal artery, was not amenable to percutaneous balloon angioplasty, so was treated with bypass surgery. Vasculitis is an important cause of renovascular hypertension in children. This case highlights the importance of regular blood pressure monitoring in children with a history of systemic vasculitis.