A ten year old boy presents to the pediatric emergency unit with seizures. Mood pressure in the upper extremity measured as 200/140 mm Hg. Femoral pulses were not palpable. The most likely diagnosis amongst the following is –: (A) Takayasu aortoarteritis, (B) Renal parenchymal disease, (C) Grandmal seiures, (D) Coarctation of aorta
Answer is D. Isolated upper extremity hypertension (200/140 mm Hg), together with absent/diminished femoral pulses is a characteristic feature of coarction of aorta.