Key result
Inadequate blood pressure screening led to a delayed diagnosis of underlying nephrotic syndrome in a 16-year-old girl with pediatric hypertension.
Why the study?
Variations in outpatient blood pressure screening and data interpretation can delay identification of secondary hypertension and affect long-term health outcomes in children.
Case Report (n=1)
Highlights the importance of adhering to updated pediatric blood pressure screening guidelines to prevent delayed diagnosis of secondary causes of hypertension.
Pediatric hypertension is not an uncommon diagnosis, affecting about 3.5% of all children. Most childhood hypertension is associated with obesity, but elevated blood pressure can also be the presenting symptom of a secondary disease process. Moreover, no matter the cause of hypertension, early identification can improve long-term health outcomes as childhood hypertension predicts hypertension in adulthood. In 2017, the American Academy of Pediatrics revised their 2004 guidelines regarding blood pressure screening for all children. Here, we discuss an illustrative case of a 16-year-old girl with hypertension and underlying nephrotic syndrome whose diagnosis was delayed due to inadequate blood pressure screening. Given the varying practices regarding the interpretation of blood pressure data in the outpatient setting, it is important for primary care providers to understand the updated guidelines and the indications for referral. [Pediatr Ann. 2020;49(6):e258-e261.].
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Gerstle et al. (2020) conducted a case report in Pediatric hypertension and nephrotic syndrome (n=1). Inadequate blood pressure screening was evaluated on Delayed diagnosis. Inadequate blood pressure screening led to a delayed diagnosis of underlying nephrotic syndrome in a 16-year-old girl with pediatric hypertension.
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