Foster B J, Bernard C, Drummond K N
Department of Nephrology, Montreal Children's Hospital, McGill University, 2300 Tupper Ave, Montreal, QC H3H 1P3, Canada.
Arch Dis Child. 2000 Sep;83(3):253-5. doi: 10.1136/adc.83.3.253.
We report the case of a child who developed severe renovascular hypertension six months after acute Kawasaki disease. The hypertension was well controlled with enalapril, but there was a gradual decrease in function of the affected kidney. The lesion, an ostial stenosis of the right main renal artery, was not amenable to percutaneous balloon angioplasty, so was treated with bypass surgery. Vasculitis is an important cause of renovascular hypertension in children. This case highlights the importance of regular blood pressure monitoring in children with a history of systemic vasculitis.
我们报告了一名儿童病例，该儿童在急性川崎病发作六个月后出现了严重的肾血管性高血压。使用依那普利可很好地控制高血压，但患侧肾脏功能逐渐下降。病变为右肾主动脉开口处狭窄，不适合进行经皮球囊血管成形术，因此接受了搭桥手术。血管炎是儿童肾血管性高血压的重要病因。该病例凸显了对有系统性血管炎病史的儿童进行定期血压监测的重要性。
