Reno-vascular hypertension in childhood: A nationwide survey

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dc.contributor.authorBayazit A.K.
dc.contributor.authorYalcinkaya F.
dc.contributor.authorCakar N.
dc.contributor.authorDuzova A.
dc.contributor.authorBircan Z.
dc.contributor.authorBakkaloglu A.
dc.contributor.authorCanpolat N.
dc.contributor.authorKara N.
dc.contributor.authorSirin A.
dc.contributor.authorEkim M.
dc.contributor.authorOner A.
dc.contributor.authorAkman S.
dc.contributor.authorMir S.
dc.contributor.authorBaskin E.
dc.contributor.authorPoyrazoglu H.M.
dc.contributor.authorNoyan A.
dc.contributor.authorAkil I.
dc.contributor.authorBakkaloglu S.
dc.contributor.authorSoylu A.
dc.date.accessioned2024-07-22T08:22:44Z
dc.date.available2024-07-22T08:22:44Z
dc.date.issued2007
dc.description.abstractRenovascular disease accounts for 8-10% of all cases of paediatric hypertension, whereas, in adults, its incidence is approximately 1%. The Turkish Paediatric Hypertension Group aimed to create the first registry database for childhood renovascular hypertension in Turkey. Twenty of the 28 paediatric nephrology centres in Turkey responded to the survey and reported 45 patients (27 girls, 18 boys) with renovascular hypertension between 1990 and 2005. The age at presentation ranged from 20 days to 17 years. The mean blood pressure at the diagnosis was 169/ 110 mmHg. Chief complaints of symptomatic patients were headache (38%), seizure (18%), epistaxis (4%), growth retardation (4%), cognitive dysfunction (4%), polyuria (2%), palpitation (2%), and hemiplegia (2%). Renovascular hypertension was found incidentally in 11 children. The diagnosis of renovascular hypertension was established with conventional angiography in 39 patients, MR angiography in three, CT angiography in two, and captopril diethylene triamine penta-acetic acid (DTPA) scintigraphy in one patient. Twenty-one children had bilateral renal artery stenosis and 24 had unilateral renal artery stenosis. Of these, 14 (31%) had fibromuscular dysplasia; 12 (27%) Takayasu's arteritis; six (13%) neurofibromatosis; two (5%) Williams syndrome; one (2%) Kawasaki disease; one (2%) mid-aortic syndrome; one (2%) extrinsic compression to the renal artery, and eight (18%) unspecified bilateral renal artery stenosis. Hypertension was controlled with antihypertensive drugs in 17 patients. Percutaneous transluminal angioplasty (PTRA) or surgery had to be performed in 28 patients: PTRA in 16 patients, PTRA + surgery in one patient and surgery in 11 patients (four nephrectomies). The importance of vasculitic disease, especially Takayasu's arteritis, should not be underestimated in children with renovascular hypertension. © IPNA 2007.
dc.identifier.DOI-ID10.1007/s00467-007-0520-4
dc.identifier.issn0931041X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19209
dc.language.isoEnglish
dc.subjectAdolescent
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectFemale
dc.subjectHealth Surveys
dc.subjectHumans
dc.subjectHypertension, Renovascular
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectMale
dc.subjectTurkey
dc.subjectantihypertensive agent
dc.subjectcaptopril
dc.subjectpentetic acid
dc.subjectadolescent
dc.subjectage
dc.subjectaorta arch syndrome
dc.subjectarticle
dc.subjectballoon dilatation
dc.subjectblood pressure measurement
dc.subjectchild
dc.subjectclinical article
dc.subjectcognitive defect
dc.subjectcomputed tomographic angiography
dc.subjectcontrolled study
dc.subjectconventional angiography
dc.subjectdiastolic blood pressure
dc.subjectdisease registry
dc.subjectepistaxis
dc.subjectfemale
dc.subjectfibromuscular dysplasia
dc.subjectgrowth retardation
dc.subjectheadache
dc.subjecthealth care facility
dc.subjecthealth care organization
dc.subjectheart palpitation
dc.subjecthemiplegia
dc.subjecthuman
dc.subjectkidney artery stenosis
dc.subjectkidney scintiscanning
dc.subjectmagnetic resonance angiography
dc.subjectmale
dc.subjectmucocutaneous lymph node syndrome
dc.subjectnephrectomy
dc.subjectneurofibromatosis
dc.subjectpercutaneous transluminal angioplasty
dc.subjectpolyuria
dc.subjectpriority journal
dc.subjectrenovascular hypertension
dc.subjectseizure
dc.subjectsymptom
dc.subjectsystolic blood pressure
dc.subjectTurkey (republic)
dc.subjectWilliams Beuren syndrome
dc.titleReno-vascular hypertension in childhood: A nationwide survey
dc.typeArticle

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