Etiologic radiographic findings in children and adolescents with nonuremic hypertension.

Radiological evaluation of 61 children and adolescents demonstrated renal abnormalities which were thought to be the cause of hypertension. No patient had primary chronic renal disease in the azotemic stage. Abnormalities of the renal parenchyma included unilateral hydronephrosis, chronic atrophic pyelonephritis, subcapsular scarring, and a renin-producing tumor. Six patients had a relatively small renal artery leading to a small kidney. Five children had an adrenal tumor which resulted in hypertension. Most patients had renal artery stenosis.

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