Department of Pediatrics, Chang Gung Memorial Hospital at Keelung, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Am J Emerg Med. 2013 Jan;31(1):272.e5-6. doi: 10.1016/j.ajem.2012.05.010. Epub 2012 Aug 9.
Children with both headache and hypertension present a relatively rare condition with a broad range of differential diagnoses in pediatric emergency medicine. Some possible diagnoses are potentially life-threatening conditions and merit aggressive evaluation management. We report a case of a 14-year-old girl who presented with headache and hypertension. She responded poorly to medical treatment and subsequently developed anxiety and difficulties with concentration. Three months later, she visited our ophthalmology department because of blurred vision. Ophthalmic evaluation revealed bilateral Kayser-Fleischer rings. Finally, she was diagnosed with Wilson disease. This case emphasizes that children with headache and hypertension merit aggressive evaluation and management.
儿童同时出现头痛和高血压是一种相对罕见的情况，在儿科急诊医学中有广泛的鉴别诊断。一些可能的诊断是潜在危及生命的疾病，需要积极的评估和管理。我们报告了一例 14 岁女孩，她因头痛和高血压就诊。她对药物治疗反应不佳，随后出现焦虑和注意力集中困难。三个月后，她因视力模糊就诊于我们的眼科部门。眼科评估显示双侧凯氏环。最终，她被诊断为威尔逊病。这个病例强调了儿童出现头痛和高血压需要积极的评估和管理。
