A 9-year-old male with hypertension.

Blood pressure screening is an important component of the pediatric outpatient visit. The following case describes a 9-year-old male with a medical history significant for prematurity, obesity, asthma, and secondary nighttime enuresis who was admitted to our institution with hypertensive urgency. His blood pressure on presentation was 166/122 mm Hg, and he was clinically asymptomatic.

Recurrent Anion Gap Acidosis: An Unusual Presentation of X-Linked Adrenoleukodystrophy in a Five-year-old Male.

We are presenting a five-year-old male with recurrent anion gap acidosis. During his last admission, it was detected that he had elevated VLCFA and the evaluation discovered that he had X-linked Adrenooleukodystrophy. He had the Addisonian only phenotype without any clinical or radiographic CNS findings.

Contrast enema in children with Henoch-Schönlein purpura.

Background/purpose: There are references in the medical literature that Henoch-Schönle purpura (HSP) and abdominal pain are contraindictions to performing contrast enemas (CEs) for diagnosis and possible reduction of intussusceptions. We investigated the safety of performing CEs in patients with abdominal pain and HSP.

Methods: A retrospective chart review and literature search were conducted.

Varicella zoster virus meningitis in a previously immunized child.

We are reporting a previously well 5-year-old child with varicella-zoster meningitis who had a history of a previous immunization against varicella. This child also developed a transient sensorineural hearing loss. The child was treated with acyclovir and made a full recovery.

Thrombocytopenia in children with severe iron deficiency.

Purpose: Thrombocytopenia has been reported in some children with severe iron deficiency anemia, but the validity of the association and the mechanism of the thrombocytopenia are not well established. Six children with severe iron deficiency and thrombocytopenia are described, and the literature is reviewed.

Patients And Methods: Clinical, hematologic, and morphologic data were collected and analyzed for six patients referred for evaluation of severe microcytic anemia and thrombocytopenia.