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小儿内分泌性高血压

Pediatric endocrine hypertension.

作者信息

Bhavani Nisha

机构信息

Department of Endocrinology and Diabetes, Amrita Institute of Medical Sciences, Cochin, Kerala, India.

出版信息

Indian J Endocrinol Metab. 2011 Oct;15 Suppl 4(Suppl4):S361-6. doi: 10.4103/2230-8210.86980.

DOI:10.4103/2230-8210.86980
PMID:22145140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3230094/
Abstract

Endocrine causes of hypertension are rare in children and screening for endocrine hypertension in children should be carried out only after ruling out renal and renovascular causes. Excess levels and/or action of mineralocorticoids associated with low renin levels lead to childhood hypertension and this can be caused by various conditions which are discussed in detail in the article. Childhood pheochromocytomas are being increasingly diagnosed because of the improved application of genetic testing for familial syndromes associated with pheochromocytomas. Adolescents with polycystic ovarian syndrome (PCOS) can also have hypertension associated with their obese phenotype.

摘要

内分泌性高血压在儿童中较为罕见,儿童内分泌性高血压的筛查应仅在排除肾脏和肾血管性病因后进行。与低肾素水平相关的盐皮质激素水平过高和/或作用导致儿童高血压,这可能由本文详细讨论的各种情况引起。由于与嗜铬细胞瘤相关的家族综合征基因检测应用的改进,儿童嗜铬细胞瘤的诊断越来越多。患有多囊卵巢综合征(PCOS)的青少年也可能因其肥胖表型而出现高血压。

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Pediatric endocrine hypertension.小儿内分泌性高血压
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2
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引用本文的文献

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Childhood Hypertension: A Retrospective Analysis of Causes, Treatments, and Complications.儿童高血压:病因、治疗及并发症的回顾性分析
Children (Basel). 2024 Oct 14;11(10):1234. doi: 10.3390/children11101234.
2
Pediatric Hypertension: A Condition That Matters.小儿高血压:一个值得关注的病症。
Children (Basel). 2024 Apr 26;11(5):518. doi: 10.3390/children11050518.
3
Focus on adrenal and related causes of hypertension in childhood and adolescence: Rare or rarely recognized?关注儿童和青少年时期的肾上腺和相关高血压病因:罕见还是很少被认识?
Arch Endocrinol Metab. 2022 Nov 17;66(6):895-907. doi: 10.20945/2359-3997000000507. Epub 2022 Aug 4.
4
Growth charts.生长图表。
Indian J Endocrinol Metab. 2011 Sep;15 Suppl 3(Suppl3):S154-5. doi: 10.4103/2230-8210.84848.

本文引用的文献

1
Knockout of the vascular endothelial glucocorticoid receptor abrogates dexamethasone-induced hypertension.敲除血管内皮糖皮质激素受体可阻断地塞米松诱导的高血压。
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Hypertension in pheochromocytoma: characteristics and treatment.嗜铬细胞瘤中的高血压:特征和治疗。
Endocrinol Metab Clin North Am. 2011 Jun;40(2):295-311, vii. doi: 10.1016/j.ecl.2011.02.002.
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Inherited forms of mineralocorticoid hypertension.遗传性盐皮质激素过多症所致高血压。
Curr Opin Endocrinol Diabetes Obes. 2011 Jun;18(3):177-85. doi: 10.1097/MED.0b013e3283469444.
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Ion channelopathies in endocrinology: recent genetic findings and pathophysiological insights.内分泌学中的离子通道病:近期遗传学发现与病理生理学见解
Arq Bras Endocrinol Metabol. 2010 Nov;54(8):673-81. doi: 10.1590/s0004-27302010000800002.
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Male pseudohermaphroditism as a cause of secondary hypertension: a case report.男性假两性畸形致继发性高血压 1 例报告
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Investigation and initial management of ambiguous genitalia.生殖器模糊患者的调查和初步处理。
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Blood pressure in pediatric patients with Cushing syndrome.库欣综合征患儿的血压
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