Pediatric sarcoidosis presenting with hypertensive encephalopathy
Jungthirapanich, J.; Watana, D.; Pongprasit, P.; Vananukul, S.; Vajaragupta, L.; Yenrudi, S.
Journal of the Medical Association of Thailand 81(11): 911-917
1998
ISSN/ISBN: 0125-2208 PMID: 9803092 Document Number: 1801
A 3-year-old girl with simultaneous presentation of hypertensive encephalopathy, subcutaneous nodules, hepatosplenomegaly and proteinuria was presented. The sarcoidosis was confirmed by histologic demonstration of non-caseating granulomas in the liver, left kidney, a cervical lymph node and subcutaneous nodules. The proteinuria resolved spontaneously. During the six-month period of steroid therapy, the renal mass and hepatosplenomegaly were dissolved but the cervical lymphadenopathy still persisted. The hypertensive state was difficult to control which required a multiple antihypertensive drug regimen.
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