Müller-Wiefel D E
Monatsschr Kinderheilkd (1902). 1978 Mar;126(3):113-8.
The course of the illness in a six-year-old boy is reported. His recurrent headaches led to the detection of arterial hypertension (170/135 mmHg). Clinical and histological examination revealed neurofibromatosis von Recklinghausen. A bilateral paraumbilical murmur hinted at a renovascular form. Arteriography showed an aneurysm of the right renal artery and multiple bilateral intrarenal stenoses and aneurysmatic dilatations. Under conservative treatment with Propranolol and Dihydralazine blood pressure remained almost normal over two years. 38 paediatric cases of renovascular hypertension in childhood reported in the literature are analyzed with regard to clinical manifestation, morphology and localisation of the renovascular lesions.
报告了一名6岁男孩的病程。他反复出现头痛，导致发现动脉高血压（170/135 mmHg）。临床和组织学检查显示为冯雷克林霍增氏神经纤维瘤病。双侧脐旁杂音提示为肾血管性形式。动脉造影显示右肾动脉有一个动脉瘤，双侧肾内有多个狭窄和动脉瘤样扩张。在使用普萘洛尔和双肼屈嗪进行保守治疗的情况下，血压在两年内几乎保持正常。对文献中报道的38例儿童肾血管性高血压病例进行了分析，涉及肾血管病变的临床表现、形态学和定位。
