Polyarteritis nodosa in a pediatric patient
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A 13-year-old Hispanic female with no significant past medical history presented to an outside facility with episodic vomiting, abdominal pain, 20-lb unintentional weight loss, and malaise over a four-week span. Visits to the urgent care and emergency room during this time period resulted in diagnoses of gastroesophageal reflux and gastritis with unsuccessful treatment regimens. Just prior to her presenting admission, she developed a fever and worsening abdominal pain followed by a grand mal seizure at home and additional four episodes at the outside hospital. Her severely elevated blood pressure (reaching upwards of 190/110 mmHg) was difficult to control, leading to her subsequent transfer to a higher level of care at our institution.

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