A 15-year-old presents with hypertension detected on three separate occasions. Ambulatory blood pressure monitoring confirms sustained hypertension. Which of the following is the most common cause of secondary hypertension in adolescents?
- A Renal parenchymal disease ✓
- B Coarctation of the aorta
- C Primary aldosteronism
- D Pheochromocytoma
Correct answer: A. Renal parenchymal disease
Explanation
In adolescents, the most common cause of secondary hypertension is renal parenchymal disease, particularly chronic glomerulonephritis and reflux nephropathy. Coarctation of the aorta is more common in younger children. Primary aldosteronism and pheochromocytoma are rare causes in the pediatric age group.
Reference: Nelson Textbook of Pediatrics, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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