Klinefelter syndrome is the most common chromosomal abnormality, with a 47, XXY karyotype and typical clinical findings of infertility, hypogonadism, reduced body hair, gynecomastia, tall stature, and incresed gonadotropins and decreased testosterone levels. In addition to this classic description, several other diseases have been discribed in Klinefelter syndrome such as unilateral renal aplasia, autoimmune disease, diabetes mellitus, sexual precoxity, renal... |
Purpose : The early and efficient diagnosis of neonatal sepsis still remains a difficult task. Reliable laboratory test is not available yet and treatment is mainly based on the physical appearance of infants. And high number of negative blood cultures in cases of clinically diagnosed sepsis further emphasize the need for a more reliable index for early diagnosis. Intercellular adhesion molecule 1(ICAM-1) has been... |
Purpose : Even though the causes and appearance of upper gastrointestinal tract lesions vary with age, attention has seldomly been focused on the infancy and early childhood. This study aimed to provide, as basic material, the experience of esophagogastroduodenoscopy(EGD) in infants and early children. Methods : The objects were 66 patients(male 40, female 26) who underwent EGD examination in case of endoscopic indication at department... |
Purpose : The multiplicity of poorly defined illnesses and the variability of clinical and laboratory features elicited by milk ingestion in sensitized infants has made it difficult to differentiate them from the more common forms of cow milk intolerance. Following up the cases of intractable diarrhea in early infancy(illI), We investigated the clinical features of cow's milk allergy(CMA) and cow... |
Purpose : This study aimed to provide, as basic material, the experience of gastrofiberscopy in children and the clinical significance of Helicobacter pylori(H. pylori) infection in pediatric gastrointestinal disease. Methods : The objects were 99 patients(male 49, female 50) who underwent gastrofiberscopic examination in case of endoscopic indication at department of pediatrics of Taegu Hyosung Catholic University Hospital from March 1993... |
Angiodysplasia(AD) of the gastrointestinal(GI) tract in children is a very rare cause of bleeding and thought to be a distinct clinicopathologic entity distingishing from the classic adult-type AD by its different clinical settings and diverse histology. We report two cases of AD involving the sigmoid colon in children. The cases, 6-year-old girl and 11-year-old boy, were preoperatively suspected by colonoscopy and... |
Purpose : We studied to assess the value of clinical findings on admission in screening of intractable diarrhea in early infancy(IDI) and the efficiency of early trial of semi-elemental form-ula (protein hydrolysate) as a nutritional management in IDI. Methods : We carried out a retrospective review of medical records of twenty-eight early infants with diarrhea and malnutrition who were diagnosed as... |
We had experienced a case of congenital lobar emphysema in a 3months old male infant. Chief symptoms included tachypnea, respiratory difficulty, cyanosis. Chest X-ray or chest CT scan revealed extensive emphysematous changes of the right upper and middle lobes, compression of the right lower lobe and shifted of mediastinum to the left side. This condition was appeared in the absence... |
A statistical obsevation was performed on 13,317 cases of neonates who had been delivered at Taegu Catholic Hospital during the past 3 years from Jan. 1 st 1988 to Dec. 31 st 1990. The results obtained were as follows: 1) Among 13,317 neonates, the male was 7,234 and the femlae 6,083, with the sex ratio of male to female being 1.19:1 2) Percentage... |
This is a rare typical case of collodion baby: The patient is a one-day-old newborn male who has been suffering from the tightly collodion or parchment-like coverings over the entire skin surface with ectropion, eclabion, fixed semiflexion position of the limbs and fissures on the flexual area. The family history was noncotributory with no consanguinity. This patient was desquamted from... |
A case of 8q2 trisomy with mental retardation and mutiple congenital anomalies has been presented with the review of related literatures. The patient was 6 month old male child with mild mental and growth retardation, microcephaly, flat occiput, hypertelorism, broad and flat nose, low-set and promient cupped ears, micrognathia, short and wide neck, widely spaced nipples, thoracolumbar scoliosis, single transverse... |
This study was designed to evaluate the prevalence and significant features of 3,234 pediatric accidental patients who visited emergency room during 6 years period from January 1982 to December 1987. 1) The accidental pediatric patients were 26.7% of total pediatric patients who visited emergency room The frequency of Childhood accidents was increased in later 2 years period(34.7%) compared with the early... |
A case of incontinentia pigmenti, Bloch-Sulzberger type, without any developmental defect has been presented with the review of related literatures. The patient was a 4 day-old female infant with irregular, grouped vesicobullous lesions on the whole body, especially on the trunk and extremities since birth. No familial traits was noted. Diagnosis was made by the charateristic clinical, labaratory and histopathologic findings. |
We presented two cases of Edward syndrome in this report. Both cases were bom with multiple congenital malformation which were characterized by low set malformed ears, micrognathia, webbed neck, rocker bottom feet, small pelvic and abducted, index and third fingers flexed upon with simian crease and small sized great toes with mild dorsifiexion. A large VSD was found on autopsy in one case who... |
Acrdermititis enteropathica is a rare autosomal recessive disorder of zinc absorption and its cardinal symptoms appear at the time of weaning from breast milk which has been referred to as most appropriate formula to prevent and treat this disease. However, recent reports presented Transient Symptomatic Zinc deficiency (TSZD) in infants fed breast milk whom they treated with transitory zinc supplement with no recurrence. We experienced... |
Recently, we experienced a case of congenital hypothyroidism in 3month-old girl, who came with chief complaints of prolonged jaundice for 2 months after birth. After admission, she was diagnosed congenital hypothyroidism by the laboratory tests, including biochemistry, radioimmunoassay, radioisotope study, and bony radiography, and since then treated with sodium-L-thyroxine orally. The case was presented with brief review of literatures. |
We experienced 7 cases of the anencephaly, 6 males and 1 female neonates. Their external appearances were quite normal and relatively well developed except acranias, but all cases had some developmental deficiency of visceras. A brief review of literature was made. |
Epidermolysis bullosa letalis is an uncommon skin disease which is manifest at birth or in infancy. It is characterized by blister formation occurring spontaneously or after friction or slight trauma. This blistering disorder has the most severe clinical course, so that death may occur in infancy. Recently, we experienced a case of epidermolysis bullosa letalis in one day old newborn infant, who was developed... |
Annular pancreas is unusual cause of duodenal obstruction in neonatal period in which, pancreatic tissue forms a partial obstruction or complete ring encircling the duodenum. It develops as a result of malrotation or overgrowth of ventral anlage of the embryonic pancreas and frequently associated with other congenital anomalies. Since the first description by Tiedman in 1818 and first sucessful (surgical treatmetn) by Vidal... |
This paper presented a case of multiple brain abscesses complicated with meningitis, found in a 7 days old newborn boy. This baby was admitted with the chief complaints of poor sucking and irritability. Diagnosis of purulent meningitis was made through CSF study. High fever and abnormal CSF(pleccytcsis and gradually increasing protein level) has been persisted inspite of broad spectrum heavy antibiotic... |