Bhavani Nisha
Department of Endocrinology and Diabetes, Amrita Institute of Medical Sciences, Cochin, Kerala, India.
Indian J Endocrinol Metab. 2011 Oct;15 Suppl 4(Suppl4):S361-6. doi: 10.4103/2230-8210.86980.
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.
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。