Sustained severe hypeension in children is most commonly suggestive of -: (A) Coarctation of aoa, (B) Pheochromocytoma, (C) Renal parenchymatous disease, (D) Drug induced
Answer is C. Ans. is 'c' i.e., Renal Parenchymatous disease Hypeension in children o Hypeension is defined as the aerial blood pressure above 951" percentile with reference to age and sex. o Between the 90" and 95th percentile it is called borderline high blood pressure. Causes of hypeension in children o Essential hypeension is relatively uncommon (10%) in children in contrast to aged persons. o The four most common causes of hypeension in children are : - i) Chronic glomerulonephritis (most common) --> 25 % Chronic pyelonephritis --> 10 % iii) Renal aery stenosis --> 10 % iv) Essential hypeension --> 10% Remember o MC cause of hypeension in children --> chronic glomerulonephritis. o MC cause renovascular hypeension in children renal aery stenosis.