This report encourages clinicians to consider a diagnosis of Carney's triad in 
patients with multifocal gastric stromal sarcoma, extraadrenal paraganglioma 
(predominantly mediastinal), or pulmonary chondroma. The authors conducted a 
retrospective 20-year survey at the Hospital for Sick Children and identified 
two children with Carney's triad. One child, presenting atypically with 
papilledema and fundal hemorrhages from malignant hypertension and benign 
intracranial hypertension from chronic iron-deficiency anemia, is the second 
patient ever to date be described with the complete Carney's triad of neoplasms 
at diagnosis. Another child presented more typically with gastric stromal 
sarcoma and pulmonary chondroma without paraganglioma. Carney's triad is a rare 
differential diagnosis for "idiopathic" hypertension or iron-deficiency anemia 
from chronic gastrointestinal bleeding. If missed, patients with Carney's triad 
may have the debilitating physical and mental consequences of chronic iron 
deficiency and may die of untreated prolonged hypertension and metastatic 
leiomyosarcoma.