Dapsone (4,4'-diaminodiphenylsulfone, DDS), a potent anti-inflammatory agent, is widely used in the treatment of leprosy and several chronic inflammatory skin diseases. Dapsone therapy rarely results in development of dapsone hypersensitivity syndrome, which is characterized by fever, hepatitis, generalized exfoliative dermatitis, and lymphadenopathy. Here, we describe the case of an 11-year-old Korean boy who initially presented with high fever, a morbilliform... |
The purpose of this review is to present the basic concepts of attachment theory and temperament traits and to discuss the integration of these concepts into parenting practices. Attachment is a basic human need for a close and intimate relationship between infants and their caregivers. Responsive and contingent parenting produces securely attached children who show more curiosity, self-reliance, and independence.... |
This study aims to investigate the clinical characteristics of children diagnosed with the novel influenza A (H1N1) in the winter of 2009 at a single medical institution. Out of 545 confirmed cases of influenza A (H1N1) in children, using the real time RT-PCR method at Kosin University Gospel Hospital from September to December of 2009, 149 patients and their medical records... |
Niemann-Pick disease is a group of autosomal recessive disorders associated with hepatosplenomegaly, variable neurologic deficits, and the storage of sphingomyelin and other lipids. Seven cases have been reported in Korea. We report an additional case presenting with hypotonia, early neurodevelopmental delay, hepatosplenomegaly and death by persistent pneumonia and asphyxia at the age of 23 months. MRI of brain and fundoscopic... |
Rothmund-Thomson syndrome(RTS), or poikiloderma congenita, is a rare, multisystem disorder. It is inherited genetically as an autosomal recessive trait, occurring predominantly in females(1.4 : 1). The RTS is comprised of poikiloderma, short stature, sparse hair, juvenile cataracts, skeletal defects, dystrophic teeth and nails, photosensitivity, and hypogonadism. We report a case of RTS who died of bleeding from esophageal varices, pulmonary... |
Purpose : In order to assess the usefulness of serum ferritin as a marker of disease activity and prognostic factor in pediatric malignancy, serum ferritin levels were measured. Methods : Peripheral blood samplings for ferritin level were made at presentation, in remission following therapy, and in relapse in 95 children with malignancy admitted to the Department of Pediatrics, Kosin University Gospel... |
Purpose : For the control of childhood leukemia, of which the mortality is still high, the basic data for the incidence has a great importance. The authors analyzed the data from 133 new patients with childhood leukemia between 1996-2000 in Busan, Korea. Methods : The data were obtained from 133 new cases(87 males and 46 females from 0 to 15 years... |
Chronic iron overload is associated with life-threatening complications, such as cardiomyopathy, liver cirrhosis, diabetes, hypothyroidism, hypoparathyroidism and hypogonadism. We experienced a case of secondary hemosiderosis with hepatic fibrosis in a 8-year-old boy who had been transfused 56 pints of packed red blood cells for a supportive therapy of acute myelogenous leukemia for a 27-month period. Intramuscular injection of Desferroxamine(40mg/kg/day) was... |
Purpose : Hepatitis B virus (HBV) vaccine was developed against HBV infection, and used widely in the world. The plasma-derived HBV vaccine was prepared from the plasma of chronic hepatitis B virus carrier. But, the plasma-derived HBV vaccine had many kinds of problems, such as the limitation of source, expensiveness, and the possibility of infection which spread through blood. To avoid these... |
Germ cell tumors(GCT) are not infrequently encounted tumor in pediartic age group. In order to study the clinical behaviors of the disease, we reviewed 29 cases of GCT diagnosed and treated at Kosin Medical Center in the period of 7 years from Jan. 1984 to Dec. 1991 and the results are summarized as follows: 1) The age distriution is the highest... |
Doxorubicin is an anthracycline antibiotic with a broad spectrum of activity in human neoplasms. However, this agent may cause, frequently, irreversible congestive left ventricular failure. We have experienced 2 cases of doxorubicin induced cardiomyopathy in one patient with multiple eosinophilic granuloma and another patient with T cell leukemia. Total dosage of doxorubicin was 295 mg/M2 for the 6 months duration and... |
A retrospective study was performed with 61 cases of acute appendicitis in children under the age of fifteen years in Kosin Medical Center from January, 1980 to April, 1991. All the patients had received surgery and biopsies of resected appendices were proved to the histological diagnosis of appendicitis The following results were obtained 1) The overall incidence of acute appendicitis... |
We experenced a case of pancreatoblastoma in a 6 years old Korean male who was admmited to the pediatric department because of an abdominal mass and pathologically diagnosed following surgical removal. Microscopically, the resected mass was composed of small sized tumor cells arranged in glandular or acini structure with multifoci of squamoid corpuscle. Extensive hemorrhagic necrosis was another feature. Ultrastructucturally, two types of cells, dark... |
Agnogenic myeloid metaplasia characterized by marrow fibrosis, leukoerythroblastic anemia, extramedullary hematopoiesis with varying degree of hepatosplenomgaly, is very rare disorder in children. We experienced a case of agnogenic myeloid metaplasia 34 months old male patient who was presented with pallor, generalized petechiae, marked hepatosplenomegaly and intermittent fever. Peripheral blood smear showed leukoerythroblastosis, poikilocytosis and tear drop cells. Bone marrow aspiration and biopsy showed fibrosis with no... |
Brain tumors are the second most common tumors in pediatric age groups. 22 cases of child brain tumors diagnosed by CT and operation at Kosin medical center in the period of 7 years from Jan. 1979 to Dec. 1985 were reviewed and the result were as follows. 1) The age distribution of brain tumor is the highest between 5 and 10 years (14/22), and... |
17 Cases of neuroblastoma diagnosed and treated at the Kosin Medical College from Mar. 1978 toFeb. 1985 were analyzed and the results are as follows: 1) Ages at the time of diagnosis were from 7 months to 9 years. The mean age was 3 10/12 years. 29.4% of the patients were below the age of 2 and 82.3% of the... |
315 cases of malignant tumors under 15 years of age who were admitted to the Gospel Hospital from January 1975 to December 1984 were analysed and following results were obtained. 1) The incidence of malignances in all admitted child patient was 3.39%. 2) Childhood malignant tumors were more frequently occured in the age group of 0〜5 years. The more prevalent tumors for the... |
29 cases of Wilms tumor treated at the Kosin Medical Center from 1975 to 1984, were analyzed and the results are as follows: 1) The age distribution of Wilms tumor was between 4 months and 13 years. The mean age was 3 years and 9 months. The median age was 24 months. 2) There were 16 cases of left-sided tumor, 12... |
A 14 year old girl was admitted because of severe obesity, respiratory difficulty and weakness of legs with edema. Diagnosis of Cushing* s syndrome by left adrenal adenoma was made by hormonal assay, abdominal C-T and surgery. 1 week after adrenalectomy, she developed paraplegia which was caused by massive deposition of fat in the spinal epidural space and compression of thoracic spinal cord. She was... |
We experienced a case of aplastic anemia following hepatitis in a 8 year and 5 month old boy. The boy who has past history of hepatitis 10 weeks prior to this visit was admitted because of pale face with petechia on the skin of abdomen and left arm for a month. CBC and bone marrow aspiration on admission showed pancytopenia... |
We experienced 2 cases of Gaucher' s disease of adult type in brothers when their ages were 4 year 1 month and 3 year 10 month respectively. They showed remarkable hepatosplenomegaly with mild hematologic complications and characteristic histiocytoid cells in the spleen and liver biopsies. Splenectomy was followed by improvement of anemia and labored respiration in both patients. In case... |
We have experienced a case of1 Cornelia de Lange Syndrome in a male infant. At first visit, the patient showed typical appearance of microcephaly, cleft palate, generalized hirsutism and growth retardation due to poor sucking since birth. The face of the patient was characterized by micrognathia, antirrongolism slant of eyes, synorphys of eye brows, bushy forehead and bushy lateral aspect of both cheeks, all... |
We report a case of Klippel-Trenaunay-Weber Syndrome in a 12 years old boy who had large port-wine hemangioma, soft tissue & bony hypertrophy and varicose veins on the lower leg. On the skin lesion, there are several black papules & crops of skin colored eruptions which were found out microscopically to be intraepidermal bleeding focuses & harmatomatous change of squamous cells into sebaceous cells... |
Cervical masses are encountered frequently in pediatric practice. Hardly an upper respiratory infection occurs without lymphadenopathy and many of these enlarged lymph nodes persist for disturbingly long periods of time. Scattered among these innocent cervical masses are those which ultimately are found to be dangerous. Sooner or later, the persistent cervical mass becomes a problem in diagnosis and treatment.In order... |
A 8-yrs-old boy was admitted because of convulsion and coma. The diagnosis of Cushing's syndrome(key word) associated with hypertensive encephalopathy(key word) due to right adrenocortical carcinoma(key word) was made by clinical features, biochemical studies, radiological studies and pathological examination. The tumor was successfully resected by right adrenalectomy. But 22 months later after operation, he died of dyspnea and heart failure.... |
Two cases of Kartageneranjx syndrome were presented. They were sisters in the same family and were 15 years and 13 years old respectively. Chief complaints of the first case were chronic cough and expectoration and of the second case were chronic cough, expectoration and nasal stuffiness. Situs inversus, bronchiectasis and paranasal sinusitis were identified in both cases. EKG showed typical... |