<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492025000101303</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hipertensión arterial secundaria a feocromocitoma de causa genética e hipoatrofia renal en edad pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Arterial hypertension secondary to genetic pheochromocytoma and renal hypoatrophy in pediatric age]]></article-title>
<article-title xml:lang="pt"><![CDATA[Hipertensão arterial secundária a feocromocitoma de causa genética e hipoatrofia renal em idade pediátrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dufort y Álvarez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Halty]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dufort y Álvarez]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guecaimburu]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Walter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,MP  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina Clínica Pediátrica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Clínica Pediátrica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,MP  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Británico  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,UDELAR Facultad de Medicina Clínica Pediátrica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>96</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000101303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000101303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000101303&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La hipertensión arterial (HA) tiene tendencia creciente en pediatría. El diagnóstico y tratamiento oportunos pueden solucionar una eventual causa subyacente y evitar daños agudos y alejados. Feocromocitomas y paragangliomas son causa infrecuente de HA en niños. El objetivo es comunicar un caso de HA secundaria a un feocromocitoma de causa genética, y atrofia del riñón ipsilateral. Se presenta una escolar de 9 años asintomática con HA severa, crónica, función renal normal y sin daño de órganos blanco. La ecografía y la angiorresonancia mostraron un nódulo en topografía suprarrenal derecha; en el centellograma con DMSA tenía 12% de captación en el riñón derecho. Las metanefrinas urinarias y la reninemia estaban muy elevadas. El PET fue positivo para feocromocitoma sin diseminación. Luego del descenso lento de la presión arterial, se realizó la resección quirúrgica; la anatomía patológica confirmó el diagnóstico y la naturaleza benigna. El estudio genético detectó la variante patogénica c.72+1G&#8250;A en el gen SDHB. En el posoperatorio persistió con HA, las metanefrinas se normalizaron, el eco Doppler mostró hipovascularización en la mitad superior del riñón y la función en el DMSA descendió a 9%. Se realizó la nefrectomía. Normalizó las cifras tensionales en el consultorio, el monitoreo ambulatorio fue aún patológico. Es esencial el monitoreo multidisciplinario de esta paciente monorrena, con posibilidad de recidiva tumoral y malignización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: Arterial hypertension (AH) is an increasing trend in pediatrics. Timely diagnosis and treatment can help identify underlying causes and prevent both acute and long-term complications. Pheochromocytomas and paragangliomas are rare causes of AH in children. The objective is to report a case of AH secondary to a genetically determined pheochromocytoma, associated with ipsilateral renal atrophy. We present the case of a 9-year-old asymptomatic school-age girl with severe chronic AH, normal kidney function, and no target organ damage. Ultrasound and angiography revealed a nodule in the right adrenal topography. A DMSA scan showed 12% uptake in the right kidney. Urinary metanephrines and renin levels were markedly elevated. PET confirmed the presence of a pheochromocytoma without dissemination. After a gradual decrease in blood pressure, surgical resection was performed. Histopathological analysis confirmed the diagnosis and its benign nature. Genetic testing identified the pathogenic variant c.72+1G&gt;A in the SDHB gene. Postoperatively, AH persisted, but metanephrine levels normalized. Doppler ultrasound showed hypovascularization in the upper half of the kidney, and DMSA uptake decreased to 9%. A nephrectomy was performed. Blood pressure normalized in the office setting, but ambulatory blood pressure monitoring remained abnormal. Multidisciplinary follow-up is essential for this monorenal patient, who presents with masked AH and remains at risk for tumor recurrence and malignancy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A hipertensão arterial (HA) tem tendência crescente nos pacientes pediátricos. O diagnóstico e o tratamento oportunos podem resolver uma possível causa subjacente e evitar danos agudos e de longo prazo. Feocromocitomas e paragangliomas são causas raras de AH em crianças. O objetivo é relatar um caso de AH secundário a feocromocitoma de causa genética e atrofia do rim ipsilateral. Apresentamos uma estudante assintomática de 9 anos com HA crônica grave, função renal normal e sem danos a órgãos-alvo. Ultrassonografia e ressonância magnética evidenciaram nódulo em topografia adrenal direita; Cintilografia com DMSA com captação direita de 12%. As metanefrinas urinárias e a reninemia estavam muito elevadas. PET foi positivo para feocromocitoma sem disseminação. Após queda lenta da pressão arterial, foi realizada ressecção cirúrgica; A anatomia patológica confirmou o diagnóstico e o caráter benigno. O estudo genético detectou a variante patogênica c.72+1G&#8250;A no gene SDHB. No pós-operatório, a HA persistiu, as metanefrinas normalizaram, a ultrassonografia Doppler mostrou hipovascularização na metade superior do rim e a função do DMSA diminuiu para 9%. Foi realizada nefrectomia. Os níveis de pressão arterial normalizaram-se no consultório, o acompanhamento ambulatorial era patológico. O acompanhamento multidisciplinar deste paciente unirenal, com HA mascarada e possibilidade de recorrência tumoral e malignidade, é essencial.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipertensión]]></kwd>
<kwd lng="es"><![CDATA[Feocromocitoma]]></kwd>
<kwd lng="es"><![CDATA[Niño]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Pheochromocytoma]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão]]></kwd>
<kwd lng="pt"><![CDATA[Feocromocitoma]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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