Reversal of cardiac and renal damage in a teenager with hypertension: A case report

J Clin Hypertens (Greenwich). 2024 Mar;26(3):295-298. doi: 10.1111/jch.14769. Epub 2024 Feb 6.

Abstract

The authors describe the case of a 16-year-old male who was incidentally found to have a blood pressure of 200/? mmHg 6 months previously due to blurred vision and was diagnosed with "high risk of hypertension grade 3, renal insufficiency, hypertensive encephalopathy, hypertensive heart disease, and fundus hemorrhage" after relevant examinations were performed. His blood pressure fluctuated around 120/90 mmHg after beginning antihypertensive treatment. While the diagnostic work-up of his hypertension was inconclusive, he had severe hypertension with brachydactyly type E and short stature on physical examination. The patient's cardiac damage and renal insufficiency ultimately returned to normal after strict blood pressure control, suggesting that hypertension and brachydactyly syndrome alone do not cause cardiac and renal damage.

Keywords: Bilginturan syndrome; HTNB; cardiology; genetic screening; hypertension with brachydactyly syndrome; salt-independent hypertension.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Brachydactyly* / diagnosis
  • Brachydactyly* / drug therapy
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Male
  • Renal Insufficiency*

Substances

  • Antihypertensive Agents