Severe hypertensive sequelae in a child with Seckel syndrome (bird-like dwarfism)

We report a 19-year-old male with Seckel syndrome (bird-like dwarfism) who presents with malignant hypertension associated with hypertensive nephroscl erosis, dilated cardiomyopathy, and a ruptured cerebral artery aneurysm. Al though end-organ injury due to chronic hypertension occurs frequently in ad ults, no previous reports of renal insufficiency due to hypertension exist in children or adolescents. We speculate that this patient may have been pa rticularly prone to hypertensive end-organ injury due to his extreme short stature.