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Lorenzo C. Aschinberg, MD; Petros M. Zeis, MD; Robert A. Miller, MD; Eunice G. John, MD; Leo L. Chan, MD

JAMA. 1977;238(4):322-324.

Abstract
Fifteen patients, aged 8 to 17 years, were found to have hypertension and were studied from February 1974 to December 1975. Hypertension was defined as supine diastolic blood pressure repeatedly above 90 mm Hg. Five patients had a family history of hypertension. Extensive diagnostic evaluation performed in all cases failed to show an underlying cause for the hypertension. Patients with target-organ involvement were treated with hydrochlorothiazide; five of them are currently normotensive. Of the remaining nine untreated patients, four became spontaneously normotensive within eight to 14 months of the initial evaluation. These results suggest that extensive studies in children with hypertension may not be necessary in every case if clinical findings meet the critiera for the diagnosis of essential hypertension. These studies might be desirable, however, if target-organ involvement is present.

(JAMA 238:322-324, 1977)

Author Affiliations
From the Division of Pediatric Nephrology, Abraham Lincoln School of Medicine, University of Illinois Hospital (Drs Aschinberg, Zeis, John, and Chan), and Cook County Hospital (Dr Miller), Chicago.

Footnotes
Reprint requests to Department of Pediatrics, University of Illinois Hospital, 840 S Wood St, Chicago, IL 60612 (Dr Aschinberg).

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