Abudraa. S.M, Ben Halim M
Department of Paediatrics, Nephrology Unit Alkhadra Hospital Tripoli, Libya
JMJ Vol. 2, No. 2 (September 2002): 55-57
This paper describes the condition of eighty-five children with systemic hypertension who were seen at Nephrology Unit between October 1993 and through September 2001. There were more girls then boys with a gender ratio of 1.3:1, and the mean on diagnosis was 5.8 years ± 3.81SD, covering an age range from 2.5 to 16years. Transient hypertension occurs more commonly in boys (40%), whereas established hypertension occurs mostly in girls (75%). Symptoms and signs suggestive of renal system involvement were found in 58children (69%), while failure to gain weight satisfactorily was the presenting feature in 37 patients (43.5%), the main underlying pathology associated with systemic hypertension was renal in the majority of patients, (82.3%). The leading cause of transient hypertensions was acute post-streptococcal glomerulonephritis, and in established hypertension was chronic renal failure. Hypertensive crises occurred in a significant number of patients particularly with the transient variety, and with significant loss of renal function in children with established systemic hypertension.
Keywords: Systemic hypertension, Post-streptococcal glomerulonephritis