Purpose: The information in the internet is increasing and the number of people using the Internet to obtain medical information is increasing rapidly too. But, compared to the amount of information, the quality of information is extremely variable. To assess the accuracy of medical information on the Internet, the quality of information about food allergies available on the internet examined. Methods:... |
Hemorrhagic disease of newborn by combined blood clotting factor deficiencies is very rare. Combined deficiency of factor V and factor VIII is the most common form among these cases, and inherited by autosomal recessive trait. Clinical findings are easy bruising, posttraumatic bleeding and bleeding after tooth extractions, and the main laboratory findings are prolonged partial thromboplastin time (PTT) and prothrombin time (PT) that are... |
Purpose : The Skin prick test is simple and cheap in diagnosis of allergic diseases. So the skin prick test has been widely used as the initial diagnostic method of IgE-mediated allergic diseases with the merit of fast detection of causative allergens. But the skin test has some difficulties in application for the infants and young children. IgE MAST(multiple antigen simultaneous test) and IgE... |
Purpose : We performed this study in order to compare the feasibility and efficacy of the fiberoptic phototherapy with conventional phototherapy and double phototherapy with single phototherapy for the treatment of neonatal hyperbilirubinemia while watching for any possible side effects of the system. Methods : During the period of February 1994 till June 1995, randomized controlled study was performed. 130 healthy term infants with non-hemolytic... |
Conjoined twins are known to be very rare congenital malformations and may be viewedas examples of incomplete twining. Because of their associated anomalies, particularly of cardiovascular system, they usually survive only short postnatal period. We have experienced 2 cases of conjoined twins. One case of dicephalus dipus dibrachius and another case of thoracopagus are presented with brief review of literature. |
Purpose : Because some patients with urinary tract infection (UTI) may combine vesicoureteral reflux and progress to reflux nephropathy, the early diagnosis and treatment of UTI are important. We have performed this study to recognize the meaning of the radiologic examination centering around technetium 99m- labelled dimercaptosuccinic acid renal scan(DMSA scan) in pediatric UTI patients. Methods : We have studied 55... |
Agnogenic myeloid metaplasia (AMM) is a myeloproliferative disorder characterized by leukoerythroblastosis, tear-drop erythrocytes, extramedullary hematopoiesis with hepatosplenomegaly, and varying degrees of myelofibrosis. The mean age at presentation is about 60 years, and pediatric cases are rare. We experienced a case of AMM in 9 months old female who was presented with pallor, huge splenomegaly and intermittent fever. Peripheral blood showed leukoerythroblastosis... |
The authors analysed 261 cases of mycoplasmal pneumonia in chidren who were admitted to the pediatric department of Seoul Adventist Hospital between July 1986 and June 1991. The result obtained were as follows; 1) Yearly distribution of the cases showed high in 1987 and 1991, but no significant difference was noted in seasonally or monthly distribution. 2) The peak incidence of age was... |
A 14-year-old Korean boy with Addison's disease probably of tuberculosis origin is presented with a brief review of the literature. The patient was admitted to our hospital on July, 23th, 1990, because of dark brown pigmentation of the skin, mucous membrane and nail beds. On physical examination, he was moderately developed, relatively poorly nourished. Skin and mucous membranes were diffusely dark brown,... |
7q-syndrome, although rare, is a well defined syndroime which usually arises de novo. Characteristic clinical features include severe growth and metal retardation, microcephaly, low birth weight, broad nasal bridge with bulbous nasal tip, large, low set ears and genital anomalies. We experienced a male newborn with clinical features suggestive of chromosomal anomaly which was confirmed to be a 7q-(q32-qter) syndrome... |
A 12 year old girl suffering visual disturbance for 4 months, and polydipsia and polyuria for last 20 days revealed an ovoid homogeneous mass on enhanced sella turcica coronal CT scan and result of water deprivation test was compatible with that of diabetes insipidus. Subtotoal rescetion of the brownish soft mass (0.5 x 0.7 cm) of pituitary stalk was performed neurosurgically, and histologically the... |
We experienced a case of hereditary spherocytosis patient who was in a recovery phase of aplastic crisis at the time of presentation. This was a 7 years old boy with complaints of pallor and intermit- tent abdominal pain. Asymptomatic jaundice was also found in the patient's grandfather and two maternal uncles. Patient’s mother had splenectomy due to hereditary spherocytosis. Diagnosis was made by morphology,... |
The authors experienced a case of congenital systemic cytomegalic inclusion disease in a newborn baby. This case showed the clinical features of low birt wight (2,200 gm), numerous petechiae, severe jaundice, hepatosplenomegaly, hypotonia and respiratory difficulty with cyanosis and Apgar score of 3 at 1 minute at birth. In the clinical course, he showed hypotonia, repeated spell of apnea. These symptoms progressively worsened and he... |
Many cases of acute megakaryonlastic leukemia have been reported in childhood or adults, but congenital form or the cases occuring in neonatal period is very rare throughout the world. In Korea only one case was reported previously by Chung et al in 1987. The authors experienced a case of congenital megakaryoblastic leukemia accompanied by Down' s syndrome, which was confirmed by autopsy and positive... |
A retrospective analysis of clinical findings in 63 patients above 2 years of age who were admitted to our hospital due to pneumonia caused by Mycoplasma pneumoniae from July, 1986 to June, 1987 was performed. The results obtained were as follows: 1) The number of patients showing positive reaction to cold agglutinin test (above 1:64) were 59 (55. 7%) among 106 total pneumonia cases. 2) The... |
We have experienced three cases of neonatal meningitis caused by group B streptococcus, which were confirmed by slide coagglutination test. One case was an early-onset type and the other two cases were late-onset type. These cases are reported with a brief review of the literatures. |
The authors experienced a case of hypersplenism in a 12 year-old male patient with the chief complaints of nasal bleeding and palpable mass on LUQ of abdomen. The patient had splenomegaly, leukopenia, and thrombocytopenia. He had high portal venous pressure of about 340 mmH20 and the splenoportography showed non-visualized portal vein and tortuous vessels suggesting portal vein obstruction. Splenectomy was done and his symptoms... |
Cryptococcosis is a subacute or chronic mycotic infection caused by cryptococcus neoformans. The authors experienced one case of disseminated cryptococcosis on autopsy involving central nervous system, lung, liver, kidney, skin and vertebral body in 18month old male patient whose chief complaints were cough, fever and dyspnea. The patient had not been respond to antituberculous therapy for three weeks with impression... |
Fifty-five cases of Reye’s syndrome, diagnosed during the period of October 1 st, 1980-September 31st, 1984 at the Pediatric of Seoul Adventist Hospital, were studied on the clinical features and laboratory finding. The following results were obtained; 1)There was no much indifference in annual incidence but highest incidence was showed September by 9 cases (16.4%). 2)The sex ratio of male to... |
Intussusception is the condition of invagination of one part of intestinal loop into the continuous distal segment. During infancy and early childhood, intussusception is the most common cause of acquired intestinal obstruction, and it is required emergency treatment. The authors observed 163 cases of intussusception who admitted to Seoul Adventist Hospital from March 1977 to August 1983, and the following results... |
We observed clinically 14 cases of mucocutaneous lymph node syndrome who were admitted to the Department of Pediatrics, Seoul Adventist Hospital from Jan. 1981 to June 1983 and following results were obtained. 1. This syndrome developed in mainly under 2 years old of age with predominant in male. 2. The main clinical manifestations are as follows: 1) Fever lasting from one to two weeks. 2) Bilateral conjunctival injection. 3) Erythematous rash, mainly... |
A Case of acute Ginko poisoning in a Year and 1 month old girl was presented. The patient was admitted, with chief complainsof abrupt vomiting, general clonic convulson and unconsciouseness, which was developed 2 hours after ingestion of Ginko biloba L.. There was revealed leukocytosis, increased C.S.F. pressure with positive Babinski sign. This patient was treated with anticonvulsants, antipyretics, steroid... |