Look Beyond a Strange Smile: A Clue to Renal Disease

A 14-year-old boy presented at the emergency department after having a generalized tonic–clonic seizure associated with severe obtundation of sensorium in the postictal period. Blood pressure was very high (180/100 mm Hg). He had previously suffered from polyuria and polydipsia for an unknown duration. Secondary nocturnal enuresis had been present since 8 years of age, after 5 years of dryness.

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