青少年高血压的病因
多见
1. 肌纤维发育不良(Fibromuscular Dysplasia,FMD)[1,2]
2. 多发性大动脉炎(Takayasu arteritis,TA)[3],是这个年龄组唯一的大动脉炎[8]。
3. 神经纤维瘤病 I 型 (Neurofibromatosis type I, NF1)[4]
少见
4. 结节性多动脉炎
5. Williams 综合症
6. Ehler-Danlos 综合症
7. 肾发育不良
8. 先天性动脉瘤
9. 肿瘤或血肿压迫
10. 川崎病后遗症
11. 放射性损伤
FMD 和NF1是西方国家最常见的青少年肾动脉狭窄的病因,这在东方国家血管炎多见[5-7]。
参考文献
1. Slovut DP, Olin JW.Fibromuscular dysplasia. N Engl J Med. 2004 Apr 29;350(18):1862-71.
2. Plouin PF, Perdu J, La Batide-Alanore A, Boutouyrie P, Gimenez-Roqueplo AP, Jeunemaitre X. Fibromuscular dysplasia. Orphanet J Rare Dis. 2007 Jun 7;2:28.
3. Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: a review J Clin Pathol 2002;55:481-486
4. 李松华,吕立权. I 型神经纤维瘤病血管病变的进展 中国矫形外科杂志 2002;55:481-486
5. Shroff R, Roebuck DJ, Gordon I, Davies R, Stephens S, Marks S, Chan M, Barkovics M, McLaren CA, Shah V, Dillon MJ, Tullus K. Angioplasty for renovascular hypertension in children: 20-year experience. Pediatrics. 2006 Jul;118(1):268-75.
6. Deal JE, Snell MF, Barratt TM, Dillon MJ. Renovascular disease in childhood. J Pediatr. 1992 Sep;121(3):378-84.
7. Tyagi S, Kaul UA, Satsangi DK, Arora R. Percutaneous transluminal angioplasty for renovascular hypertension in children: initial and long-term results. Pediatrics. 1997 Jan;99(1):44-9.
8. Ozen S, Ruperto N, Dillon MJ, Bagga A, Barron K, Davin JC, et al. EULAR/PRES endorsed consensus criteria for the classification of childhood vasculitis. Ann Rheum Dis. 2006;65:936–41.
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