Tourette syndrome associated with Page kidney

Area of Science:

• Nephrology
• Cardiology
• Neurology

Background:

• Page kidney is a rare condition characterized by secondary hypertension.
• It is most commonly caused by traumatic subcapsular hematomas.
• This case explores an atypical cause of Page kidney hypertension.

Observation:

• A 15-year-old male with Tourette syndrome presented with secondary hypertension.
• The hypertension was attributed to a subcapsular hematoma compressing the kidney.
• The hematoma resulted from years of self-injury behavior associated with Tourette syndrome.

Findings:

• The patient's hypertension was diagnosed as Page kidney hypertension.
• The underlying cause was identified as chronic subcapsular hematoma due to self-inflicted trauma.
• This represents an unusual etiology for Page kidney in an adolescent.

Implications:

• This case underscores the importance of considering behavioral factors in secondary hypertension.
• It highlights a rare but serious complication of self-injury behavior in adolescents.
• Early recognition and management of Page kidney are crucial for preventing long-term complications.