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February 20, 1978

Therapy of Acute Severe Hypertension in Children

Author Affiliations

From the Department of Medical Education, Ravenswood Hospital Medical Center, Chicago.

JAMA. 1978;239(8):755-757. doi:10.1001/jama.1978.03280350079027

FORTUNATELY for those dealing with health care problems in children, hypertensive emergencies and the attending complications are not seen as frequently in children as they are in adults.1 However, that does not lessen the seriousness of a hypertensive crisis when it does occur.2 The clinical condition of acute severe hypertension is being seen more frequently in pediatric patients. The increase in this condition is due primarily to the severe arterial hypertension found in children who have received a kidney transplant. Table 1 lists many of the conditions in children that may be associated with a sudden and severe rise in arterial blood pressure (BP).

Although poststreptococcal glomerulonephritis is the most common clinical condition in which acute hypertension is found, many centers are reporting severe episodes of acute hypertension in postrenal transplant patients. Also, with a better survival rate in infants with hemolytic uremic syndrome, the problem of severe