Table 3:
Causes of childhood HTN by ag
Renal | Others | |
---|---|---|
Newborn |
Renal parenchymal disease: Autosomal recessive and dominant polycystic kidney disease Renal dysplasia Renovascular disease (such as thrombosis of renal artery or vein) |
Cardiac causes such as coarctation of aorta Bronchopulmonary dysplasia Post ECMO |
Children |
Renal parenchymal disease: Acute glomerulonephritis Hemolytic uremic syndrome Urinary tract infections Reflux nephropathy Renovascular disease (renal artery stenosis/renal vein thrombosis) |
Coarctation of aorta Monogenic HTN Wilms tumor Neuroblastoma Primary HTN |
Adolescents |
Renal parenchymal disease Renovascular disease (similar causes for children) |
Primary HTN Coarctation of aorta Endocrine causes, including Cushing’s syndrome, hyperthyroidism, hypothyroidism, pheochromocytoma Drug-induced including glucocorticoids, calcineurin inhibitor, sympathomimetics (salbutamol, aminophylline), growth hormone, decongestants, stimulants, antidepressants, hormonal contraceptives, substance abuse (cocaine, MDMA/ecstasy) |
HTN: Hypertension, ECMO: Extracorporeal membrane oxygenation, MDMA: 3,4-methylenedioxymethamphetamine