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December 1956

Essential Hypertension in Infancy and Childhood: Differential Diagnosis and Therapy

Author Affiliations

From the Department of Pediatrics, Harvard Medical School, and The Children's Medical Center. Assistant in Pediatrics, Harvard Medical School, Assistant Physician, Children's Hospital (Dr. Haggerty); Formerly Fellow in Cardiology, Children's Hospital (Dr. Maroney); Assistant Clinical Professor of Pediatrics, Harvard Medical School; Cardiologist, Children's Hospital, Physician, Sharon Cardiovascular Unit, Children's Medical Center (Dr. Nadas). Supported in part by The Recess Commission on Hypertension of The Massachusetts State Legislature.

AMA Am J Dis Child. 1956;92(6):535-549. doi:10.1001/archpedi.1956.02060030529001

Introduction  Essential hypertension is the principal cause of persistently elevated blood pressure in adults.1 In children, by contrast, essential hypertension is rare; renal diseases, diseases of the central nervous system, coarctation of the aorta, and endocrine disturbances are the commonest etiological factors.*In view of the paucity of reported cases of essential hypertension in the pediatric literature, it seemed worthwhile to present the cases with this condition encountered at the Children's Medical Center, Boston. We shall emphasize the salient points in differential diagnosis and discuss the therapeutic approaches.

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