PERSISTENT SEVERE HYPERTENSION IN AN INFANT WITH POSTERIOR URETHRAL VALVES

Severe hypertension, an infrequent problem in pediatrics, usually has a single secondary cause. We report an infant with severe hypertension and left reflux nephropathy, a known cause of secondary hypertension. The severity of hypertension and poor response to pharmacological the rapy prompted further investigation, including a renal arteriogram tha t showed a right segmental renal artery stenosis.