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Polycythaemia and hypertension caused by renal artery stenosis
  1. M G Coulthard1,
  2. W H Lamb2
  1. 1Department of Paediatric Nephrology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK
  2. 2Bishop Aukland General Hospital, Bishop Aukland, County Durham DL14 6AD, UK
  1. Correspondence to:
    Dr M G Coulthard, Department of Paediatric Nephrology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK;
    malcolm.coulthard{at}ncl.ac.uk

Abstract

A girl with failure to thrive and a haemoglobin of 140 g/l at 1.3 years died from a brain haemorrhage 2.5 years later. Renal artery stenosis had caused severe, chronic hypertension and increased erythropoietin secretion (haemoglobin 182 g/l). Blood pressure should be measured in all unwell children, including those failing to thrive.

  • polycythaemia
  • hypertension
  • renal artery stenosis
  • erythropoeitin

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