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April 1917

HYPERTENSION IN NEPHRITIS IN CHILDHOOD, WITH A STUDY OF NINETY-THREE CASES

Author Affiliations

SAN FRANCISCO NASHVILLE, TENN.
From the Children's Medical Department, Massachusetts General Hospital, and the Medical Service of the Children's Hospital, Boston.

Am J Dis Child. 1917;13(4):354-361. doi:10.1001/archpedi.1917.01910040051003
Abstract

A recent and unusual case of high blood pressure in nephritis in a boy of 10 stimulated a review of the literature to ascertain the frequency with which, and to what degree, hypertension occurred in nephritis in children. Considering the attention blood pressure has received' in the nephritis of adults, we were immediately struck by the scarcity of literature relating to blood pressure in nephritis occurring in the early years of life.

Shaw1 reports three cases of acute nephritis in children with blood pressure readings, and concludes that "hypertension in acute nephritis, so constant in adults, is not so marked in children." Gordon2 reports the blood pressure in nine cases, seven of which were acute nephritis and two chronic cases with acute symptoms superimposed. He found that the blood pressure in acute nephritis is elevated, and that the increase may be very great, one of his cases having

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