Pediatric Hypertension and End-Stage Renal Disease
Autor: | Christopher Clardy, Shireen Hashmat, Karyn Gerstle, Joseph R. Hageman |
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Rok vydání: | 2020 |
Předmět: |
Pediatrics
medicine.medical_specialty Delayed Diagnosis Nephrotic Syndrome Adolescent Referral media_common.quotation_subject MEDLINE End stage renal disease Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Risk Factors 030225 pediatrics medicine Humans 030212 general & internal medicine Girl Child media_common Pediatric hypertension business.industry Infant Blood Pressure Determination medicine.disease Obesity Blood pressure Child Preschool Hypertension Practice Guidelines as Topic Pediatrics Perinatology and Child Health Kidney Failure Chronic Female business Nephrotic syndrome |
Zdroj: | Pediatric Annals. 49 |
ISSN: | 1938-2359 0090-4481 |
Popis: | Pediatric hypertension is not an uncommon diagnosis, affecting about 3.5% of all children. Most childhood hypertension is associated with obesity, but elevated blood pressure can also be the presenting symptom of a secondary disease process. Moreover, no matter the cause of hypertension, early identification can improve long-term health outcomes as childhood hypertension predicts hypertension in adulthood. In 2017, the American Academy of Pediatrics revised their 2004 guidelines regarding blood pressure screening for all children. Here, we discuss an illustrative case of a 16-year-old girl with hypertension and underlying nephrotic syndrome whose diagnosis was delayed due to inadequate blood pressure screening. Given the varying practices regarding the interpretation of blood pressure data in the outpatient setting, it is important for primary care providers to understand the updated guidelines and the indications for referral. [ Pediatr Ann . 2020;49(6):e258–e261.] |
Databáze: | OpenAIRE |
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