Successful recovery from severe hypertension in a patient with Leigh syndrome

Hypertension is a rare complication of Leigh Syndrome (LS), but prognosis of patients with hypertension is poor and its presence is indicative of the terminal stage of the disease. Herein, we report a four-year-old girl case diagnosed with LS at 15 months of age who subsequently developed severe hyp...

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Main Authors: Yuto Arai, Kiyotaka Kosugiyama, Takuya Tamura, Sasagu Matsumoto, Akira Sudo, Hideaki Shiraishi, Cammack Ivor, Akira Ohtake, Kiyoshi Nagumo
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Molecular Genetics and Metabolism Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214426920301300
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author Yuto Arai
Kiyotaka Kosugiyama
Takuya Tamura
Sasagu Matsumoto
Akira Sudo
Hideaki Shiraishi
Cammack Ivor
Akira Ohtake
Kiyoshi Nagumo
author_facet Yuto Arai
Kiyotaka Kosugiyama
Takuya Tamura
Sasagu Matsumoto
Akira Sudo
Hideaki Shiraishi
Cammack Ivor
Akira Ohtake
Kiyoshi Nagumo
author_sort Yuto Arai
collection DOAJ
description Hypertension is a rare complication of Leigh Syndrome (LS), but prognosis of patients with hypertension is poor and its presence is indicative of the terminal stage of the disease. Herein, we report a four-year-old girl case diagnosed with LS at 15 months of age who subsequently developed severe hypertension and respiratory failure. Physical examination and laboratory findings did not indicate a secondary cause of hypertension. Her respiratory failure was treated with non-invasive ventilation and hypertension controlled with enalapril, furosemide and spironolactone. To our knowledge, this is the first case of a patient with LS recovering from severe hypertension.
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spelling doaj.art-61b2938a30e34a0e824097d2332f01ef2022-12-21T22:33:59ZengElsevierMolecular Genetics and Metabolism Reports2214-42692020-12-0125100684Successful recovery from severe hypertension in a patient with Leigh syndromeYuto Arai0Kiyotaka Kosugiyama1Takuya Tamura2Sasagu Matsumoto3Akira Sudo4Hideaki Shiraishi5Cammack Ivor6Akira Ohtake7Kiyoshi Nagumo8Department of Pediatrics, Teine-Keijinkai Hospital, Sapporo, Japan; Corresponding author.Department of Pediatrics, Hokkaido University School of Medicine, Sapporo, JapanDepartment of Pediatrics, Teine-Keijinkai Hospital, Sapporo, JapanDepartment of Pediatrics, Teine-Keijinkai Hospital, Sapporo, JapanSocial Welfare Corporation Nire-no-kai Children's Clinic, Sapporo, JapanDepartment of Pediatrics, Hokkaido University School of Medicine, Sapporo, JapanDepartment of Clinical Residency Training, Teine-Keijinkai Hospital, Sapporo, JapanCenter for Intractable Diseases, Saitama Medical University Hospital, Saitama, JapanDepartment of Pediatrics, Teine-Keijinkai Hospital, Sapporo, JapanHypertension is a rare complication of Leigh Syndrome (LS), but prognosis of patients with hypertension is poor and its presence is indicative of the terminal stage of the disease. Herein, we report a four-year-old girl case diagnosed with LS at 15 months of age who subsequently developed severe hypertension and respiratory failure. Physical examination and laboratory findings did not indicate a secondary cause of hypertension. Her respiratory failure was treated with non-invasive ventilation and hypertension controlled with enalapril, furosemide and spironolactone. To our knowledge, this is the first case of a patient with LS recovering from severe hypertension.http://www.sciencedirect.com/science/article/pii/S2214426920301300Leigh syndromeHypertensionRespiratory failureMedulla oblongataNucleus tractus solitarii
spellingShingle Yuto Arai
Kiyotaka Kosugiyama
Takuya Tamura
Sasagu Matsumoto
Akira Sudo
Hideaki Shiraishi
Cammack Ivor
Akira Ohtake
Kiyoshi Nagumo
Successful recovery from severe hypertension in a patient with Leigh syndrome
Molecular Genetics and Metabolism Reports
Leigh syndrome
Hypertension
Respiratory failure
Medulla oblongata
Nucleus tractus solitarii
title Successful recovery from severe hypertension in a patient with Leigh syndrome
title_full Successful recovery from severe hypertension in a patient with Leigh syndrome
title_fullStr Successful recovery from severe hypertension in a patient with Leigh syndrome
title_full_unstemmed Successful recovery from severe hypertension in a patient with Leigh syndrome
title_short Successful recovery from severe hypertension in a patient with Leigh syndrome
title_sort successful recovery from severe hypertension in a patient with leigh syndrome
topic Leigh syndrome
Hypertension
Respiratory failure
Medulla oblongata
Nucleus tractus solitarii
url http://www.sciencedirect.com/science/article/pii/S2214426920301300
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