Purpose : Child sexual abuse is a significant and serious problem that affects public health and society. Pediatricians are responsible for preventing and detecting sexual abuse of children. The aim of this study was to examine clinical findings of child sexual abuse. Methods : The authors retrospectively studied 292 patients between the ages of 0 and 18 who were referred for... |
Purpose : Forward pulmonary blood flow may be absent in some neonates with Ebstein's anomaly by anatomical or functional pulmonary atresia in association with the elevated pulmonary vascular resistance, patent ductus arteriosus and tricuspid regurgitation. We reviewed the presentation and outcomes of symptomatic neonates with Ebstein's anomaly focusing on the pulmonary atresia. Methods : Clinical presentation and outcome of 15 symptomatic... |
Systemic air embolism occurs when air enters the pulmonary venous system as a result of a positive gradient caused by low pulmonary venous pressure or increased airway pressure, or both. Systemic air embolism has been frequently reported after penetrating thoracic trauma and can induce life-threatening complications. In blunt thoracic trauma, systemic air embolism has been rarely diagnosed. Because air embolism... |
Tuberculosis may affect Iymphnodes of any part of the body as a primary infection or secondary to lymphatic or hematogenous dissemination. But the diagnosis of tuberculous mesenteric lymphadenitis is often difficult to establish, because symptoms and signs are often quite vague and laboratory and radiologic findings ard unhelpful. We have recently experienced a case of tuberculous mesenteric lymphadenitis clinically presenting as... |
The efficacy of acetaminophen, sponging plus acetaminophen, and sponging alone as method of lowering body temperature was compared in 108 children aged 8 weeks to 5 years who presented with an axillary temperature of 38.5C or greater during the period from January 1993 to April 1993. The following results were obtained. 1) The male to female ratio was 2.5:1 and clinical diagnosis... |
The authors determined the value of performing urine microscopy on biochemically negative urine sepcimens in a pediatric population. The 746 urine specimens of patients who were either visited or admitted to the Department of Pediatrics, National Police Hospital, from March 1991 to July 1992 were reviewed on the basis of comparative evaluation of biochemical and microscopic urine analysis. Eight reactions... |
L-asparaginase is known as an effective anticancer drug in the induction chemotherapy of acute lymphocytic leukemia. The side effects or toxicities of L-asparaginase are hypersensitivity reaction, hepatotoxicity, pancreatitis, transient diabetes mellitus, CNS toxicity, disorders of coagulation system and mild cytotoxicity. We report a female patient with acute lymphocytic leukemia develop- ing diabetic ketoacidosis during induction chemotherapy with L-asparaginase, parednisolone, vincris- tine and intrathecal methotrexate, who... |
Cystic lymphangioma, or cystic hygroma, is a true, benign, congenital multic-ystic tumor arising from sequestration of embryonic lymphatic tissue. Most often it occurs at birth or early in life, and it was found most commonly in the neck, but rarely in the retroperitoneum and its distribution coincides with that of the primitive lymph sac. We have experienced a case of retroperitoneal cystic lymphangioma in... |
Febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta is a severe form of pityriasis lichenoides et varioliformis acuta characterized by the sudden polymorphous eruptions composed of diffuse coalescent macule, papule, vesicle, hemorrhagic vesicle and reddish brown crust on the neck, trunk, axilla, both extremities, and systemic symptoms such as fever and malaise. We have experienced a case of febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta which... |
There is controversy as to whether maternal serum ferritin level influences the level of ferritin in the cord blood serum of newborns or not. The present study was designed to evalulate the influence of iron storage status of mothers on the newborn infant. Paired samples from 51 uncomplicated pregnant women and their newborns who were admitted to the department of OB & GY, National... |
Wilson-Mikity syndrome is a chronic respiratory distress in the premature infant. The most striking component of the syndrome is the distinctive chest radiographic finding. We report a case of Wilson-Mikity syndrome in a premature baby and briefly review the literature. |
Congenital factor V deficiency is a rare hemorrhagic disease characterized by the various hemorr- hagic manifestations and the prologations of clotting time, prothrombin time and partial thromboplastin time. We experienced a case of congenital factor V deficiency in a 4 month-old male infant, who had suffered from the bleeding tendncy since his neonatal period. We review literatures briefly and present this case. |
We have experienced a case of Stevens-Johnson Syndrome in a 10 yr 11 mo old girl with unknown etiology. The pertineiit literatures are reviewed briefly. |
A heart disease screening program was performed on 15,685 primary school children in Seoul City from the first to sixth grade to estimate the prevalence of heart diseases. Among the 15,685 children examined, 45 were confirmed to have heart disease (2.9/1,000) Out of the 45 children, 38 had congenital heart disease(2.4/1,000) and 7 had rheumatic heart disease(0.4/1,000) and the ratio... |
Thirty-five cases of Wilms tumor treated at the Seoul National University Hospital from 1969 to 1983, were analyzed and the results are as follows: 1)Ages at nephrectomy were from 1 monh. to 11 years and 8 months. The mean, age was 3 years and 4 months and the median was 2 years and 9 months. The sex ratio of male... |
Twenty four cases of acute lymphocytic leukemia with mediastinal mass were studied at the Department of Pediatrics, Seoul National University Hospital from September 1965 to August 1983. Analysis were done with regard, to age, sex, chief complaints, organ size (liver, spleen and lymph nodes), initial hemoglobin, white blood cell and platelet count, initial bone marrow findings and lymphoblast surface markers.... |
To assess the incidence and the effectiveness of preventive measures for tumor lysis syndrome, we analyzed the serial electrolytes levels in leukemia (Group A, 15 patients) and in lymphoma (Group B, 8 patients) patients. The results were 1)Serum LDH were elevated in all of the patients before the chemotherapy. 2)Serum uric acid were also elevated in 8 patients (A 5, B... |
Papaillary thyroid cancer is a rare lesion in children. It progresses slowly and its prognosis is relatively good. A painless nodule in the thyroid or in the neck is the usual first evidence of disease. Cervical lymph node involvement is usually present at the time of the initial diagnosis and is often bilateral. The lungs are the most common site... |
Five hundred and thirty-nine cases of malignant tumors (excluding leukemia) under 15 years of age who were admitted to Seoul National University Hospital from January 1967 to December 1981 were reviewed and analysed. Three hundred and ninety-nine cases of leukemia were seen during the same period and total 938 cases of malignancies including leukemia were observed. 1. The frequency of malignant tumors... |
Seventy one children aged 3 months and 8 months with a foreign body in the airway were analysed. Most of the patients were less than 3 years of age, and male to female ratio 2.6:1. Most foreign bodies were food materials (58.2%), metallic bodies (20.9%) and plastic materials(13.4%). Of all the foreign bodies, 61 cases were lodged in the main... |
The echocardiographic features of Tetralogy of Fallot were analysed on 102 patients with Tetralogy of Fallot, proven by cardiac catheterization and angiocardiography. The dimension of the cardiac chambers and the relationship of contiguous structures were determined by M-mode scanning technics. The most characteristic echocardiographic finding of Tetralogy of Fallot was abrupt ending of the interventricular septal echoes with the aorta... |
The clinical and laboratory manifestations in ten children with Wilson* s disease are described. The average at onset of symptoms in the eight symptomatic patients was ten years, and male to female ratio was 6 to 4. Kayser-Fleisher rings were present in eight patients. Splenomegaly and hepatomegaly were noted in. four patients and generalized edema was present in six patients. Less... |