Hypertension in the absence of urinary abnormalities - An unusual presentation of anaphylactoid purpura

Med J Malaysia. 2020 Jul;75(4):436-438.

Abstract

Henoch-Schonlein Purpura (HSP) or anaphylactoid purpura, currently named IgA vasculitis is the most common form of systemic vasculitis in children. In adults and young infants, HSP tends to have atypical presentations with higher rates of severe gastrointestinal problems and delayed renal complications. While hypertension is a known complication of HSP nephritis, it is rarely seen in individuals with normal renal function and urinary findings. We report a case of a 7-year-old boy with HSP, who presented with abdominal pain and severe hypertension without other features of glomerulonephritis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Pain / physiopathology*
  • Child
  • Humans
  • Hypertension / drug therapy
  • Hypertension / physiopathology*
  • IgA Vasculitis / diagnosis*
  • IgA Vasculitis / physiopathology*
  • Kidney
  • Male
  • Severity of Illness Index
  • Treatment Outcome