Pediatric Sarcoidosis Presenting with Hypertensive Encephalopathy
JAAKCHAI JUNGTHIRAPANICH, M.D.*, PRAPAI PONGPRASIT, M.D.**, DHEVY WATANA, M.D.**, SIRIWAN V ANANUKUL, M.D.**, SAOW ANEE YENRUDI, M.D.**** LADDA WAN V AJARAGUPTA, M.D.***,
Affiliation : *Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathumthani 12120, **Department of Pediatrics, ***Department of Radiology, ****Department of Pathology, Faculty of Medicine, Chulalongkom University, Bangkok 10330, Thailand.
Abstract A 3-year-old girl with simultaneous presentation of hypertensive encephalopathy, sub- cutaneous nodules, hepatosplenomegaly and proteinuria was presented. The sarcoidosis was confirmed by histologic demonstration of non-caseating granulomas in the liver, left kidney, a cervical lymph node and subcutaneous nodules. 1be proteinuria resolved spontaneously. During the six-month period of steroid therapy, the renal mass and hepatosplenomegaly were dissolved but the cervical lymphadenopathy still persisted. The hypertensive state was difficult to control which required a multiple antihypertensive drug regimen.
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