TY  - JOUR
T1  - KUSMA VE HİPOKALEMİ İLE BAŞVURAN ÇOCUK OLGUDA BİLATERAL RENAL ARTER DARLIĞI Bilateral Renal Artery Stenosis in Children With Vomiting and Hypokalemia
AU  - Gemici, Atilla
AU  - Atmış, Bahriye
AU  - Atmış, Anıl
PY  - 2019
DA  - March
DO  - 10.16919/bozoktip.458072
JF  - Bozok Tıp Dergisi
PB  - Yozgat Bozok Üniversitesi
WT  - DergiPark
SN  - 2146-4006
SP  - 172
EP  - 176
VL  - 9
IS  - 1
LA  - tr
AB  - ÖZETÇocuklarda hipertansiyon etiolojisi arasında sekonder nedenler ön plandadır. Bu nedenle hipertansiyonunerken tanınması ve tedavi altına alınması, çocukların ilerleyen yaşlarında yaşam kalitesininartması ve kronik hastalıklardan korunması açısından öncelikli hedeftir. Hipertansiyonuolan çocuklar farklı klinik bulgular ile başvurabilir. Bu yazıda 20 gündür olan kusması nedeniyletetkik edilirken hipokalemi saptanan, fizik muayene esnasında ölçülen kan basıncı 205/115 mmHgolan ve yapılan tetkiklerinde bilateral renal arter darlığı tespit edilen 10 yaşındaki erkek olguyusunmayı amaçladık. Bu sunumda çocukluk çağında kan basıncı ölçümünün rutin fizik muayeneninbir parçası olması gerektiğini ve hipertansif çocuk olguların farklı klinik bulgular ile gelebileceğinivurgulamak, ayrıca hipertansiyon tanı algoritmasını gözden geçirmek amaçlanmıştır.Anahtar Sözcükler: Hipertansiyon; Hipokalemi; Renal arter darlığıABSTRACTSecondary causes of hypertension is common in children. Therefore, early diagnosis andtreatment of hypertension etiology is a primary goal in terms of increasing the quality of life ofchildren and protecting them from chronic diseases. Children with hypertension may present withvarious clinical manifestations. We aimed to present a 10-year-old male patient with hypokalemiadue to vomiting during 20 days and whose blood pressure was measured as 205/115 mmHg onphysical examination and right renal artery stenosis was detected. In case report, it was aimedto emphasize that blood pressure measurement during childhood should be a part of routinephysical examination and that children with hypertension may present with various clinicalfindings and also to review the hypertension diagnosis algorithm.Keywords: Hypertension; Hypokalemia; Renal artery stenosis
KW  - KUSMA VE HİPOKALEMİ İLE BAŞVURAN ÇOCUK OLGUDA BİLATERAL RENAL ARTER DARLIĞI Bilateral Renal Artery Stenosis in Children With Vomiting and Hypokalemia
CR  - 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.
UR  - https://doi.org/10.16919/bozoktip.458072
L1  - https://dergipark.org.tr/tr/download/article-file/680146
ER  -