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Papers of the Week

2021 Jun

Int J Pediatr Adolesc Med



Acute Autonomic Neuropathy as a Rare Cause of Severe Arterial Hypertension in a Child.


Kamińska H, Kostera-Pruszczyk A, Potulska-Chromik A, Werner B
Int J Pediatr Adolesc Med. 2021 Jun; 8(2):121-124.
PMID: 34084885.


A 7-year-old boy was admitted to the Pediatric Cardiology Department with blood pressure of 160/120 mmHg accompanied by burning pain in his hands and feet and tachycardia, followed by a seizure attack for the first time in his life, which presented shortly after admission. The child underwent a widespread diagnostic process – including laboratory tests and imaging – showing inconclusive results. Acute autonomic neuropathy was eventually diagnosed and successfully treated with intravenous immunoglobulin. The described case illustrates the need for a careful and open-minded approach to patients with hypertension.