KUSMA VE HİPOKALEMİ İLE BAŞVURAN ÇOCUK OLGUDA BİLATERAL RENAL ARTER DARLIĞI Bilateral Renal Artery Stenosis in Children With Vomiting and Hypokalemia

Year 2019, Volume: 9 Issue: 1, 172 - 176, 26.03.2019

Atilla Gemici , Bahriye Atmış Anıl Atmış

Abstract

ÖZET

Çocuklarda hipertansiyon etiolojisi arasında sekonder nedenler ön plandadır. Bu nedenle hipertansiyonun

erken tanınması ve tedavi altına alınması, çocukların ilerleyen yaşlarında yaşam kalitesinin

artması ve kronik hastalıklardan korunması açısından öncelikli hedeftir. Hipertansiyonu

olan çocuklar farklı klinik bulgular ile başvurabilir. Bu yazıda 20 gündür olan kusması nedeniyle

tetkik edilirken hipokalemi saptanan, fizik muayene esnasında ölçülen kan basıncı 205/115 mmHg

olan ve yapılan tetkiklerinde bilateral renal arter darlığı tespit edilen 10 yaşındaki erkek olguyu

sunmayı amaçladık. Bu sunumda çocukluk çağında kan basıncı ölçümünün rutin fizik muayenenin

bir parçası olması gerektiğini ve hipertansif çocuk olguların farklı klinik bulgular ile gelebileceğini

vurgulamak, ayrıca hipertansiyon tanı algoritmasını gözden geçirmek amaçlanmıştır.

Anahtar Sözcükler: Hipertansiyon; Hipokalemi; Renal arter darlığı

ABSTRACT

Secondary causes of hypertension is common in children. Therefore, early diagnosis and

treatment of hypertension etiology is a primary goal in terms of increasing the quality of life of

children and protecting them from chronic diseases. Children with hypertension may present with

various clinical manifestations. We aimed to present a 10-year-old male patient with hypokalemia

due to vomiting during 20 days and whose blood pressure was measured as 205/115 mmHg on

physical examination and right renal artery stenosis was detected. In case report, it was aimed

to emphasize that blood pressure measurement during childhood should be a part of routine

physical examination and that children with hypertension may present with various clinical

findings and also to review the hypertension diagnosis algorithm.

Keywords: Hypertension; Hypokalemia; Renal artery stenosis

Keywords

KUSMA VE HİPOKALEMİ İLE BAŞVURAN ÇOCUK OLGUDA BİLATERAL RENAL ARTER DARLIĞI Bilateral Renal Artery Stenosis in Children With Vomiting and Hypokalemia

References

• 1. Swinford RD, Ingelfinger JR. Evaluation of hypertension in childhood diseases. In: Barratt TM, Avner ED, Harmon WE (eds), Pediatric Nephrology (4th ed). Baltimore: Lippincott Williams and Wilkins, 1999;1007. 2. Bender JU, Bonila FMA, Portman RJ. Epidemiology of hypertansion. In: Avner ED, Harmon WE, Niaudet P (eds). Pediatric Nephrology. 5th ed. Philadelphia: Lippincott Williams and Wilkins, 2004: 1125-1151. 3. Brewer ED. Evaluation of hypertension in childhood diseases. In: Avner ED, Harmon WE, Niaudet P (eds). Pediatric Nephrology 5th ed. Philadelphia: Lippincott Williams and Wilkins, 2004:1179-1197. 4. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114 (2 Suppl 4th Report):555-76.( 5. Vaidya A, Halperin F, Alexander EK, Dluhy R. Hyperaldosteronism. In: de Groot LJ, BeckPeccox P, Chrousos G, et al (eds), Endotext [Internet yayını] . South Dartmouth (MA): MDText.com, Inc, 2000-2013 Aug 1. 6. Olin JW. Renal artery disease: diagnosis and management. Mt Sinai J Med. 2004; 71:73- 85. 7. De Souza AW, De Carvalho JF. Diagnostic and classification criteria of Takayasu arteritis. J Autoimmun 2014;48-49:79-83. 8. Ozen S, Pistorio A, Lusan SM, Bakkaloglu A, Herlin T, Brik R, et al. EULAR/PRINTO/PRES criteriaforHenoch–Schönlein purpura,childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: Final classification criteria. Ann Rheum Dis. 2010;69:798-806. 9. Ekim M,Tumer N, Yalcinkaya F, Cakar N. Unilateral renal atrophy and hypertension (imageing techniques in children with hyperreninaemic hypertension) (a case report). IntUrol Nephrol. 1995; 27:375-379. 10. Trnka P, Orellana L, Walsh M, Pool L, Borzi P.