Acute severe hypertension associated with acute gastroenteritis in children.
acute severe hypertension
children
gastroenteritis
target organ damage
Journal
Journal of clinical hypertension (Greenwich, Conn.)
ISSN: 1751-7176
Titre abrégé: J Clin Hypertens (Greenwich)
Pays: United States
ID NLM: 100888554
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
02
06
2020
revised:
30
07
2020
accepted:
17
08
2020
pubmed:
16
9
2020
medline:
29
5
2021
entrez:
15
9
2020
Statut:
ppublish
Résumé
Acute severe hypertension in otherwise healthy children with acute illness requiring hospitalization for BP management is uncommon and warrants immediate evaluation. We describe 10 cases of children presenting with acute gastroenteritis and found to have acute severe hypertension. They required admission to the hospital for antihypertensive treatment, including 2 to the intensive care unit, but all had normalization of BP and were able to stop treatment with resolution of the acute illness. All patients had thorough testing for secondary causes of hypertension and for signs of end-target organ damage, which were unremarkable. To our knowledge, acute severe hypertension in the setting of acute gastroenteritis without underlying kidney pathology and with complete resolution after illness has not been previously described. The mechanism of this association is not clear, although activation of the sympathetic nervous system is suspected. These cases illustrate the importance of thoroughly assessing BP in the acute setting.
Identifiants
pubmed: 32931636
doi: 10.1111/jch.14029
pmc: PMC8029787
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2141-2145Informations de copyright
© 2020 Wiley Periodicals LLC.
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