The Evaluation of a 19-Year-Old With Hypertension and Proteinuria

A Case Report

Mara Edison, Matthew Meunier, Nathaniel Miller

Research output: Contribution to journalArticle

Abstract

A 19-year-old male presented to the clinic and was found to be prehypertensive and have proteinuria on urine testing. He was subsequently diagnosed with focal segmental glomerulosclerosis (FSGS). Initial workup for pediatric hypertension includes urinalysis, chemistry panel, lipid panel, and renal ultrasound. Abnormalities on urinalysis, including proteinuria, hypercholesterolemia, and low serum albumin in children are characteristic of nephrotic disease. FSGS is a type of kidney pathology that often contributes to nephrotic disease and results from a variety of causes. For the primary care provider, being aware of the guidelines for pediatric hypertension screening and evaluation is important as 20% of children with hypertensive disease are due to kidney disease. FSGS is the third leading cause of end-stage renal disease in children aged 12 to 19 years, and its incidence was found to be rising in a study of Olmsted County, MN residents. Treatment to complete or partial remission of the proteinuria can slow the progression of renal disease. In this case report, we will discuss the evaluation of pediatric hypertension workup with proteinuria, specifically due to FSGS, and review current management strategies.

Original languageEnglish (US)
JournalJournal of Primary Care and Community Health
Volume10
DOIs
StatePublished - May 1 2019

Fingerprint

Focal Segmental Glomerulosclerosis
Proteinuria
Hypertension
Urinalysis
Pediatrics
Kidney
Kidney Diseases
Hypercholesterolemia
Serum Albumin
Chronic Kidney Failure
Disease Progression
Primary Health Care
Urine
Guidelines
Pathology
Lipids
Incidence
Therapeutics

Keywords

  • children
  • disease management
  • health outcomes
  • patient-centeredness
  • primary care

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

The Evaluation of a 19-Year-Old With Hypertension and Proteinuria : A Case Report. / Edison, Mara; Meunier, Matthew; Miller, Nathaniel.

In: Journal of Primary Care and Community Health, Vol. 10, 01.05.2019.

Research output: Contribution to journalArticle

@article{6156a809be894935a37b7c105678db0b,
title = "The Evaluation of a 19-Year-Old With Hypertension and Proteinuria: A Case Report",
abstract = "A 19-year-old male presented to the clinic and was found to be prehypertensive and have proteinuria on urine testing. He was subsequently diagnosed with focal segmental glomerulosclerosis (FSGS). Initial workup for pediatric hypertension includes urinalysis, chemistry panel, lipid panel, and renal ultrasound. Abnormalities on urinalysis, including proteinuria, hypercholesterolemia, and low serum albumin in children are characteristic of nephrotic disease. FSGS is a type of kidney pathology that often contributes to nephrotic disease and results from a variety of causes. For the primary care provider, being aware of the guidelines for pediatric hypertension screening and evaluation is important as 20{\%} of children with hypertensive disease are due to kidney disease. FSGS is the third leading cause of end-stage renal disease in children aged 12 to 19 years, and its incidence was found to be rising in a study of Olmsted County, MN residents. Treatment to complete or partial remission of the proteinuria can slow the progression of renal disease. In this case report, we will discuss the evaluation of pediatric hypertension workup with proteinuria, specifically due to FSGS, and review current management strategies.",
keywords = "children, disease management, health outcomes, patient-centeredness, primary care",
author = "Mara Edison and Matthew Meunier and Nathaniel Miller",
year = "2019",
month = "5",
day = "1",
doi = "10.1177/2150132719843437",
language = "English (US)",
volume = "10",
journal = "Journal of primary care & community health",
issn = "2150-1319",
publisher = "Sage Periodicals Press",

}

TY - JOUR

T1 - The Evaluation of a 19-Year-Old With Hypertension and Proteinuria

T2 - A Case Report

AU - Edison, Mara

AU - Meunier, Matthew

AU - Miller, Nathaniel

PY - 2019/5/1

Y1 - 2019/5/1

N2 - A 19-year-old male presented to the clinic and was found to be prehypertensive and have proteinuria on urine testing. He was subsequently diagnosed with focal segmental glomerulosclerosis (FSGS). Initial workup for pediatric hypertension includes urinalysis, chemistry panel, lipid panel, and renal ultrasound. Abnormalities on urinalysis, including proteinuria, hypercholesterolemia, and low serum albumin in children are characteristic of nephrotic disease. FSGS is a type of kidney pathology that often contributes to nephrotic disease and results from a variety of causes. For the primary care provider, being aware of the guidelines for pediatric hypertension screening and evaluation is important as 20% of children with hypertensive disease are due to kidney disease. FSGS is the third leading cause of end-stage renal disease in children aged 12 to 19 years, and its incidence was found to be rising in a study of Olmsted County, MN residents. Treatment to complete or partial remission of the proteinuria can slow the progression of renal disease. In this case report, we will discuss the evaluation of pediatric hypertension workup with proteinuria, specifically due to FSGS, and review current management strategies.

AB - A 19-year-old male presented to the clinic and was found to be prehypertensive and have proteinuria on urine testing. He was subsequently diagnosed with focal segmental glomerulosclerosis (FSGS). Initial workup for pediatric hypertension includes urinalysis, chemistry panel, lipid panel, and renal ultrasound. Abnormalities on urinalysis, including proteinuria, hypercholesterolemia, and low serum albumin in children are characteristic of nephrotic disease. FSGS is a type of kidney pathology that often contributes to nephrotic disease and results from a variety of causes. For the primary care provider, being aware of the guidelines for pediatric hypertension screening and evaluation is important as 20% of children with hypertensive disease are due to kidney disease. FSGS is the third leading cause of end-stage renal disease in children aged 12 to 19 years, and its incidence was found to be rising in a study of Olmsted County, MN residents. Treatment to complete or partial remission of the proteinuria can slow the progression of renal disease. In this case report, we will discuss the evaluation of pediatric hypertension workup with proteinuria, specifically due to FSGS, and review current management strategies.

KW - children

KW - disease management

KW - health outcomes

KW - patient-centeredness

KW - primary care

UR - http://www.scopus.com/inward/record.url?scp=85065556557&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065556557&partnerID=8YFLogxK

U2 - 10.1177/2150132719843437

DO - 10.1177/2150132719843437

M3 - Article

VL - 10

JO - Journal of primary care & community health

JF - Journal of primary care & community health

SN - 2150-1319

ER -