June 1993

Abdominal Symptoms as Presentation of Hypertensive Crisis

Author Affiliations

From the Department of Pediatrics, Yale University School of Medicine, New Haven, Conn.

Am J Dis Child. 1993;147(6):638-641. doi:10.1001/archpedi.1993.02160300044020

• Objective.  —To describe a series of patients in hypertensive crisis who presented primarily with abdominal symptoms.

Design.  —Patient reports.

Setting.  —Referral center after initial presentation in the general community.

Participants.  —Three children, aged 10 months to 4 years, in hypertensive crisis who presented with abdominal symptoms that promptly resolved and did not recur with blood pressure control.

Conclusions.  —Blood pressure should be measured in all children undergoing physical examination; particular attention should be paid to the blood pressure of patients with unexplained abdominal symptoms before extensive diagnostic testing is pursued.(AJDC. 1993;147:638-641)