Renovascular hypertension in children: symptoms and manifestations. A 19 patients cli

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Renovascular hypertension in children: symptoms and manifestations. A 19 patients clinical study. Rom J Intern Med. 2006;44(3):281-93 Authors: Burnei G, Gavriliu S, Georgescu I, Vlad C, Hodorogea D, Dan D The symptomatology in renovascular hypertension in children may be sometimes misunderstood, leading to the establishment of a late diagnosis, even after the inducing disease is diagnozed. METHODS: The main types of manifestations on which the diagonsis was established: neuropsychiatric, weight loss, renal and digestive manifestations were studied in 19 patients, age ranged 2 to 15 years old in which the main causes diagnosed were reno-ureteral malformations, pyelonephritis, reno-ureteral reflux and renal trauma. Starting from these observations the diagnosis of arterial hypertension was established and the further investigations have shown the real causes of arterial hypertension noticed. RESULTS: The periodic postoperative evaluation performed every three months over a peri6d ranging from 4 months to 7 years individualized 4 clinical evolutive types: Arterial Hypertension with lumbar pain, without any clinical manifestation, with ophthalmologic manifestations and with encephalopathic manifestations. CONCLUSIONS: Symptomatology in renovascular hypertension has no pathognomonic indices and the observed manifestations being single or all together impose the evaluation of blood pressure or even more, the monitoring of it over a long period, for at least 30 days. If the values of blood pressure are greater than the normal accepted ones, more complex investigations are required in order to establish a certain etiology of the hypertensive status. PMID: 18386607 [PubMed - indexed for MEDLINE]

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