SEVERE HYPERTENSION WITHOUT URINARY ABNORMALITIES IN A PATIENT WITH HENOCH-SCHONLEIN PURPURA

Hypertension as a complication of Henoch-Schonlein purpura (HSP) is al most uniformly accompanied by evidence of renal involvement, either de creased renal function or urinary abnormalities. We report a 4.5-year- old male with HSP who developed severe hypertension without other mani festations of glomerulonephritis, including no decline in renal functi on and no development of urinary abnormalities. Extensive evaluation f or other identifiable causes for his hypertension was nor productive. His hypertension resolved with the resolution of his HSP. This case de monstrates that patients with HSP may on occasion develop severe hyper tension without other evidence of nephritis. An extensive evaluation f or other causes of severe hypertension may be deferred in this setting until well after all other manifestations of HSP have resolved.