Advertisement

Pediatric Cardiology

, Volume 14, Issue 2, pp 124–126 | Cite as

Pseudohypertension in a child with Williams syndrome

  • C. Narasimhan
  • Thomas Alexander
  • Shanker Krishnaswami
Case Reports

Summary

Pseudohypertension has often been reported in elderly subjects, but is an unusual phenomenon in children. We report the case of a 5-year-old child who presented with features of Williams syndrome (characterized by elfin facies, supravalvar aortic stenosis, and peripheral pulmonary artery stenosis). Repeated blood pressure recordings made with appropriately sized blood pressure cuffs were very high, while simultaneous intraarterial blood pressure was normal, confirming the presence of pseudohypertension. This was shown to be caused by excessively thickened arterial vessels.

Key Words

Pseudohypertension Williams syndrome 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Daniels RS, Loggie MH, Schwartz C, Strife L, Kaplan S (1985) Systemic hypertension secondary to vascular anomalies in patients with Williams syndrome.J Pediatr 106:249–251Google Scholar
  2. 2.
    Freidman WF, Roberto WC (1966) Vitamin D and supravalvar AS syndrome: the transplacental effect of vitamin D on the aorta of the rabbit.Circulation 34:77–86Google Scholar
  3. 3.
    Oster JR, Materson BJ (1986) Pseudo hypertension: a diagnostic dilemma.J Clin Hypertens 4:307–313Google Scholar
  4. 4.
    Schmidt RE, Gilbert EF, Amend TC, Chamberlain CR, Lucas RV (1969) Generalised arterial fibromuscular dysplasia and myocardial infarction in familial supravalvar aortic stenosis syndrome.J Pediatr 74:576–584Google Scholar
  5. 5.
    Toda T, Leszozynski DE, Kummerow FA (1983) The role of 25 hydroxy-vitamin D3 in the induction of atherosclerosis in swine and rabbit by hypervitaminosis.Acta Pathol Jpn 33:37–44Google Scholar
  6. 6.
    Williams JCP, Barret Boyes BG, Lowe JB (1961) Supra valvar aortic stenosis.Circulation 24:1311–1318Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • C. Narasimhan
    • 1
  • Thomas Alexander
    • 1
  • Shanker Krishnaswami
    • 1
  1. 1.Department of CardiologyChristian Medical College HospitalVellore

Personalised recommendations