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April 1979, Vol 133, No. 4 >
Article | April 1979

Radiological Case of the Month FREE

Lionel W. Young, MD; Richard E. Frates, MD; Patricia A. O'Shea, MD; Jay M. Orson, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Children's Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Young).


Am J Dis Child. 1979;133(4):429-430. doi:10.1001/archpedi.1979.02130040083017.
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During a routine physical examination, a 4-year-old girl was found to have a blood pressure of 170/110 mm Hg.

Six months earlier, right facial paresis developed that cleared completely. She was a well, happy child. Her blood pressure varied between

200/100 and 160/100 mm Hg. Popliteal pressures were about 10 mm Hg higher. Ocular fundi showed hypertensive retinopathy with blurred discs and macular exudates. She had multiple café au lait spots, varying in size from 0.5 cm to several centimeters, on the torso and the extremities. There were no nodules. She had thoracic scoliosis (Fig 1).

Results of multiple urinalyses were normal, with specific gravities up to 1,023. Urine cultures were sterile. Serum chemistry levels, including BUN and creatinine were normal. Creatinine clearance was 60 ml/mn/1.73sq m. Catecholamine, vanillylmandelic acid, and urinary and blood cortisol levels were normal. A left renal arteriogram was done (Fig 2). The peripheral vein

REFERENCES

1 +
Salyer WR, Salyer DC:  The vascular lesions of neurofibromatosis . Angiology 25:510, 1974;.
2 +
Reubi F:  Neurofibromatose et lesions vasculaires . Schweiz Med Wochenschr 75:463, 1945;.
3 +
Fleming MP, Miller WE:  Renovascular hypertension due to neurofibromatosis . Am J Roentgenol 113:452, 1971;.
4 +
Rilford DL, Kelsch RC:  Renal artery stenosis in childhood neurofibromatosis . AM J Dis Child 126:665, 1973;.

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Salyer WR, Salyer DC:  The vascular lesions of neurofibromatosis . Angiology 25:510, 1974;.
2 +
Reubi F:  Neurofibromatose et lesions vasculaires . Schweiz Med Wochenschr 75:463, 1945;.
3 +
Fleming MP, Miller WE:  Renovascular hypertension due to neurofibromatosis . Am J Roentgenol 113:452, 1971;.
4 +
Rilford DL, Kelsch RC:  Renal artery stenosis in childhood neurofibromatosis . AM J Dis Child 126:665, 1973;.

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