Aetiological and Clinical Profile of Hypertension in Children

We wanted to study the clinical and aetiological profile of hypertension in children and compare the results with previous studies done in paediatric hypertension among children between 3 and 15 years of age. METHODSAll children between 3 and 15 years of age who visited the Outpatient & Inpatient Department of Paediatrics, SAIMS were screened for the presence of hypertension. Systematic investigations were done to find out the aetiology of hypertension. RESULTSMaximum number of patients were in the age group of 3 to 9 years, followed by 12 to 15 years and 9 to 12 years age groups. Males were affected more. Nephrotic syndrome was the commonest cause of hypertension in children. CONCLUSIONSIn this study, it has been observed that minimum number of patients were in age group 9 - 12 years patients (19.3 %) and maximum number of patients were in the age group 3 - 9 years (51.6 %) with a M : F ratio of 1 : 0.93. and the main aetiology of hypertension was found to be nephrotic syndrome.

Starry sky appearance of tuberculoma

CNS tuberculosis accounts for only 10% of all cases of tuberculosis, carries a high mortality and morbidity. Tuberculoma of the brain is an important clinical entity. The main challenge in the management of brain tuberculoma is its diagnosis. Hereby, referring case of a 12 years old male child who presented with clinical picture of tuberculosis but radiologically NCC, hence posing a diagnostic dilemma as clinically it was in the favor of tuberculosis whereas radiologically inclination was towards neurocysticercosis. Based on clinical manifestations it was suggestive of meningitis, CSF picture was suggestive of hypoglycorrhachia. CT chest showed miliary pattern and neuroimaging showing multiple ring enhancing lesions. High index of clinical suspicion is required to make a diagnosis and evaluation with reports.