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A pediatric patient with hyponatremic hypertensive syndrome without persistent hypertension in acute phase: A case report and review of literature
Hyponatremic hypertensive syndrome is characterized by hypertension, hyponatremia, and hypokalemia due to unilateral renal artery stenosis. We herein report a 1-year-old hyponatremic hypertensive syndrome infant without persistent hypertension in the acute phase. On the ninth hospital day, his systo...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705808/ https://www.ncbi.nlm.nih.gov/pubmed/33294189 http://dx.doi.org/10.1177/2050313X20969559 |
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author | Hinokuma, Nodoka Sakurai, Shunsuke Shiratori, Atsutoshi Nagahara, Keiko Abe, Yoshifusa Shimizu, Takeshi Fujii, Takanari Mizuno, Katsumi Tomita, Hideshi |
author_facet | Hinokuma, Nodoka Sakurai, Shunsuke Shiratori, Atsutoshi Nagahara, Keiko Abe, Yoshifusa Shimizu, Takeshi Fujii, Takanari Mizuno, Katsumi Tomita, Hideshi |
author_sort | Hinokuma, Nodoka |
collection | PubMed |
description | Hyponatremic hypertensive syndrome is characterized by hypertension, hyponatremia, and hypokalemia due to unilateral renal artery stenosis. We herein report a 1-year-old hyponatremic hypertensive syndrome infant without persistent hypertension in the acute phase. On the ninth hospital day, his systolic and diastolic blood pressure increased up to 154–160 and 70–84 mmHg, respectively. Acute gastroenteritis and dehydration might transiently mask his hypertension. By percutaneous transluminal balloon angioplasty for right renal artery, his blood pressure finally normalized without antihypertensive drugs. We reviewed 23 previously reported pediatric patients with hyponatremic hypertensive syndrome under the age of 15 years. Including our patient, there are only three reports on hyponatremic hypertensive syndrome without persistent hypertension in the acute phase. Hyponatremic hypertensive syndrome is curable with proper diagnosis and timely intervention. Therefore, pediatricians should pay attention to the signs and symptoms associated with hyponatremic hypertensive syndrome, even if persistent hypertension was absent in the acute phase. |
format | Online Article Text |
id | pubmed-7705808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77058082020-12-07 A pediatric patient with hyponatremic hypertensive syndrome without persistent hypertension in acute phase: A case report and review of literature Hinokuma, Nodoka Sakurai, Shunsuke Shiratori, Atsutoshi Nagahara, Keiko Abe, Yoshifusa Shimizu, Takeshi Fujii, Takanari Mizuno, Katsumi Tomita, Hideshi SAGE Open Med Case Rep Case Report Hyponatremic hypertensive syndrome is characterized by hypertension, hyponatremia, and hypokalemia due to unilateral renal artery stenosis. We herein report a 1-year-old hyponatremic hypertensive syndrome infant without persistent hypertension in the acute phase. On the ninth hospital day, his systolic and diastolic blood pressure increased up to 154–160 and 70–84 mmHg, respectively. Acute gastroenteritis and dehydration might transiently mask his hypertension. By percutaneous transluminal balloon angioplasty for right renal artery, his blood pressure finally normalized without antihypertensive drugs. We reviewed 23 previously reported pediatric patients with hyponatremic hypertensive syndrome under the age of 15 years. Including our patient, there are only three reports on hyponatremic hypertensive syndrome without persistent hypertension in the acute phase. Hyponatremic hypertensive syndrome is curable with proper diagnosis and timely intervention. Therefore, pediatricians should pay attention to the signs and symptoms associated with hyponatremic hypertensive syndrome, even if persistent hypertension was absent in the acute phase. SAGE Publications 2020-11-25 /pmc/articles/PMC7705808/ /pubmed/33294189 http://dx.doi.org/10.1177/2050313X20969559 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Hinokuma, Nodoka Sakurai, Shunsuke Shiratori, Atsutoshi Nagahara, Keiko Abe, Yoshifusa Shimizu, Takeshi Fujii, Takanari Mizuno, Katsumi Tomita, Hideshi A pediatric patient with hyponatremic hypertensive syndrome without persistent hypertension in acute phase: A case report and review of literature |
title | A pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: A case report and review of
literature |
title_full | A pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: A case report and review of
literature |
title_fullStr | A pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: A case report and review of
literature |
title_full_unstemmed | A pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: A case report and review of
literature |
title_short | A pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: A case report and review of
literature |
title_sort | pediatric patient with hyponatremic hypertensive syndrome without
persistent hypertension in acute phase: a case report and review of
literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705808/ https://www.ncbi.nlm.nih.gov/pubmed/33294189 http://dx.doi.org/10.1177/2050313X20969559 |
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