Kamińska Halszka, Kostera-Pruszczyk Anna, Potulska-Chromik Anna, Werner Bożena
Dept. of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, Poland.
Dept. of Neurology, Medical University of Warsaw, Poland.
Int J Pediatr Adolesc Med. 2021 Jun;8(2):121-124. doi: 10.1016/j.ijpam.2020.06.006. Epub 2020 Jul 8.
A 7-year-old boy was admitted to the Pediatric Cardiology Department with blood pressure of 160/120 mmHg accompanied by burning pain in his hands and feet and tachycardia, followed by a seizure attack for the first time in his life, which presented shortly after admission. The child underwent a widespread diagnostic process - including laboratory tests and imaging - showing inconclusive results. Acute autonomic neuropathy was eventually diagnosed and successfully treated with intravenous immunoglobulin. The described case illustrates the need for a careful and open-minded approach to patients with hypertension.
一名7岁男孩因血压160/120 mmHg入院至儿科心脏病科，伴有手脚灼痛和心动过速，入院后不久首次出现癫痫发作。该患儿接受了广泛的诊断过程——包括实验室检查和影像学检查——结果均无定论。最终诊断为急性自主神经病变，并通过静脉注射免疫球蛋白成功治愈。所述病例表明，对于高血压患者需要采取谨慎且开放的态度。
