ARTERIAL HYPERTENSION IN YOUNG PEOPLE REVEALING SYSTEMIC AFFECTIONS

Abstract

Objective: Arterial hypertension in young patients can reveal or be a complication involving multiple mechanisms (coarctation of the aorta, inflammatory stenosis and / or thrombosis of the renal artery, vasculitis of arteries of different sizes, glomerular nephropathies, fibrosis retro peritoneal …) many systemic conditions. Design and method: We retrospectively studied hypertension in 16 patients under 40. Data were collected retrospectively from 16 patients, under 40 years old, and hospitalized d in an internal medicine department for systemic diseases. Results: These were 2 men and 14 women. The average age was 34 years and 8 months (range 16–40 years). The systemic conditions identified were: systemic lupus erythematosus (7 cases), Takayasu disease (4 cases), systemic sclerosis (1 case), Sjögren syndrome (1 case), Behçet's disease (1 case), Buerger's disease (1 case) and cryoglobulinemia (1 case). Conclusions: Hypertension in young patients revealing a systemic disorder is rare and has complex mechanisms. Its etiological treatment depends on the specific context of each identified condition, on surgical treatment and / or long-term medical treatment.