RT Journal Article
SR Electronic
T1 Hypertension in Henoch–Schönlein purpura with minimal urinary findings
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 163
OP 164
DO 10.1136/adc.84.2.163
VO 84
IS 2
A1 P M Drummond
A1 N E Moghal
A1 M G Coulthard
YR 2001
UL http://adc.bmj.com/content/84/2/163.abstract
AB THOUGH HYPERTENSION IS A COMMON FEATURE OF HENOCH Schönlein purpura (HSP) acute nephritis, it is seen only rarely and transiently if renal function is normal and abnormal urinary findings are minimal. We report a 3.4 year old girl who had the typical arthritis and rash of HSP, but also had significant hypertension with only minimal urinary findings. Imaging investigations revealed one normal kidney, and one that was almost destroyed from previous reflux nephropathy; her hypertension resolved after unilateral nephrectomy. Other causes of hypertension should be excluded in children with HSP and minimal urinary findings.