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

Yıl 2019, Cilt: 9 Sayı: 1, 172 - 176, 26.03.2019

Atilla Gemici , Bahriye Atmış Anıl Atmış

Öz

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

Anahtar Kelimeler

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

Kaynakça

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