Effective treatment of severe hypertensive crisis in 2-year-old child with neuroblastoma
Journal Title: OncoReview - Year 2015, Vol 5, Issue 2
Abstract
We describe a case of a 2-year-old boy with neuroblastoma and high catecholamine levels which developed a severe hypertensive crisis. An oral propranolol and oral angiotensin-converting enzyme inhibitor were used with a mild short transient benefit. However, an intravenous labetalol and oral doxazosin used for over 3 weeks resulted in successful blood pressure control. This report highlights the prolonged use of α and β-adrenergic antagonist therapy in children with neuroblastoma with refractory catecholamine-induced hypertension.
Authors and Affiliations
Anna Raciborska, Katarzyna Bilska, Jolanta Antoniewicz, Magdalena Rychłowska-Pruszyńska, Carlos Rodriguez-Galindo
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