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Original Article
A Clinical Study of Child Abuse
Yoon Jin Choi, Shin Mi Kim, Eun Jung Sim, Do Jun Cho, Dug Ha Kim, Ki Sik Min, Ki Yang Yoo
Clin Exp Pediatr. 2007;50(5):436-442.   Published online May 15, 2007

Purpose: To promote awareness and efforts by pediatricians to identity and prevent child abuse by investigation of characteristics of victim and types of injury caused by abuse. Methods: A retrospective study was performed with 20 patients who had been diagnosed or suspected as child abuse at Hallym University Hospital from January 1999 to December 2005. The medical records, radiologic documents,...
Review Article
Lung function tests in preschool children
Yong-Mean Park
Clin Exp Pediatr. 2007;50(5):422-429.   Published online May 15, 2007
Measurement of lung function is an integral component of respiratory physiology and of clinical assessment of lung diseases in school age children and adults. Pulmonary function test of infants and children under the age of 2 years have now been standardised and are being used both in research and as an adjunct to clinical management. By contrast, until recegntly, children...
Case Report
Topiramate can reduce the number of episodic attacks in cyclic vomiting syndrome : a case report
Mi-Sun Yum, Keun Wook Bae, Su Jeong You, Tae Sung Ko
Clin Exp Pediatr. 2007;50(4):386-389.   Published online April 15, 2007
Cyclic vomiting syndrome (CVS) is a paroxysmal, recurrent vomiting disorder of unknown pathophysiology and target organ. It has been hypothesized that CVS shares the same mechanism as migraine. We describe here a 5-year-old boy with CVS characterized by episodic vomiting attacks. These recurrent vomiting episodes began at 3 years of age, occurred every month and lasted for 5 days at...
Original Article
A clinical study of deep neck abscess in children
Soo Jung Lee, Mee Yong Shin, Chang Hwi Kim, Yoon Woo Koh
Clin Exp Pediatr. 2007;50(4):363-368.   Published online April 15, 2007
Purpose : It has been reported that deep neck abscesses are recently increasing again. We analyzed pediatric cases with deep neck abscesses during the last several years to contribute to the treatment of the disease. Methods : The clinical data of 30 children under 16 years of age with deep neck abscess from February 2001 to July 2006 were analysed retrospectively....
Clinical fetures of kawasaki disease in school-aged children
Eun Young Park, Ji Hye Kim, Hae Soon Kim, Sejung Sohn
Clin Exp Pediatr. 2007;50(3):292-297.   Published online March 15, 2007
Purpose : Kawasaki disease (KD) rarely occurs in school-aged children. We clarified the characteristics of KD in this age group to provide tips for a high index of suspicion. Methods : Features of 38 patients with KD who were 7 years of age or older were retrospectively reviewed. Results : The incidence of the KD patients ≥7 years was 4.9 percent. The...
Clinical characteristics of acute renal failure of rhabdomyolysis in children
Jae Hui Kim, Min Ji Goo, Jung Sook Yeom, Eun Sil Park, Ji Hyun Seo, Jae Young Lim, Chan Hoo Park, Hyang Ok Woo, Hee Shang Youn
Clin Exp Pediatr. 2007;50(3):277-283.   Published online March 15, 2007
Purpose : Acute renal failure (ARF) is an important complication of rhabdomyolysis. The purpose of this study was to identify the major causes of rhabdomyolysis in children and to identify the factors associated with the developmet of ARF. Methods : A retrospective chart review between January 1997 to June 2005 was conducted of 60 patients with a diagnosis of rhabdomyolysis. Rhabdomyolysis...
Clinicopathologic features and prognosis of childhood IgA nephropathy
Sung Il Woo, Keun Wook Bae, Joo Hoon Lee, Young Seo Park, Yong Mee Cho
Clin Exp Pediatr. 2007;50(2):170-177.   Published online February 15, 2007
Purpose : Clinicopathological features were investigated to clarify the outcome and prognostic indicators for patients with IgA nephropathy in Korean children. Methods : We reviewed the outcomes of 61 patients in whom IgA nephropathy was diagnosed before the age of 15 years from 1991 to 2005 and followed-up at least for one year. All patients were confirmed by renal biopsy. Results...
A clinical study of child bacterial meningitis in Daejeon and Chungcheong area : 2001-2005
Yong Joo Lee, Soo Jin Lee, Ho Jin Park, Young Hyuk Lee, So Young Kang, Young Chang Kim, In Kyu Lee, Kyung Yeon Lee, Keon Su Lee, Won Seop Kim
Clin Exp Pediatr. 2007;50(2):157-162.   Published online February 15, 2007
Purpose : The purpose of this study was to analyze the epidemiology, causative organism, clinical manifestation and prognosis of bacterial meningitis for children after the introduction of Haemophilus influenzae type b (Hib) vaccine in Daejeon and Chungcheong area. Methods : We analyzed retrospectively 53 medical records who had been diagnosed with bacterial meningitis at 10 general or university hospitals...
Clinical analysis of acute drug intoxication and foreign body ingestion in Wonju: comparison between the 1990s and the 2000s
Joo Pil Eum, Jin Suk Suh, Hwang Min Kim
Clin Exp Pediatr. 2007;50(2):138-142.   Published online February 15, 2007
Purpose : The purpose of this study is to find out the changing pattern of drug or foreign body ingestion between 1990s and 2000s in Wonju Christian Hospital, which is located in one of the most rapidly urbanizing cities in Korea. Methods : We retrospectively reviewed the medical records of patients with acute drug intoxication and foreign body ingestion from January...
Review Article
Diagnostic approach to the fever of unknown origin in children - Emphasis on the infectious diseases -
Eun Hwa Choi
Clin Exp Pediatr. 2007;50(2):127-131.   Published online February 15, 2007
Fever of unknown origin (FUO) has been a convenient term used to classify patients who warrant a particular systemic approach to diagnostic evaluation and management. The greatest clinical concern in evaluating FUO is identifying patients whose fever has a serious or life-threatening cause when a delay in diagnosis could jeopardize successful intervention. Thorough history and complete physical examination are critical...
Original Article
Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children
Dong Ho Song, Yoon Lee, Baik-Lin Eun, Kwang Jae Lee, Sang Kuk Kang, Sung Gin Vaq, Sung You, Jung Bin Shin, Bong Ok Kim
Clin Exp Pediatr. 2007;50(1):79-84.   Published online January 15, 2007
Purpose : Tibial internal torsion is prevalent in East Asian countries such as Korea and Japan, where sitting on the floor is common behavior. Tibial internal torsion or excessive lateral tibial torsion may cause esthetical, functional, or psychological problems and also may induce degenerative arthritis in older age. The aim of this study is to evaluate the therapeutic effect of...
A clinical study of systemic lupus erythematosus in children
Ji Tae Kim, Young Mee Nam, Jae Seung Lee, Dong Soo Kim
Clin Exp Pediatr. 2007;50(1):74-78.   Published online January 15, 2007
Purpose : Systemic lupus erythematosus (SLE) is a chronic multisystemic autoimmune disease with complex clinical manifestations. It probably involves genetic, environmental and immunologic factors. In this study, we investigated the clinical manifestations, laboratory findings and prognosis of pediatric SLE to aid clinical care of pediatric SLE. Methods : The data of 45 patients who were diagnosed as pediatric SLE in Severance...
Child sexual abuse
Hyun Joo Lee, Hye Jung Han, Ji Hee Kim, Hye Sun Lee, In Sil Lee
Clin Exp Pediatr. 2007;50(1):20-27.   Published online January 15, 2007
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...
Analysis of cytosine adenine(CA) repeat polymorphism of the IGF-I gene and influence on serum IGF-I levels in healthy children and adolescents
Myung Jin Ko, Tae Gyu Hwang, Jeong Nye Lee, Woo Yeong Chung
Clin Exp Pediatr. 2006;49(12):1340-1347.   Published online December 15, 2006
Purpose : The aim of the present study was to investigate the role of polymorphic cytosine adenine (CA) repeat of the IGF-I gene in the age-related alterations of serum IGF-I levels in healthy children. Methods : Two hundred and forty three normal healthy children (136 boys; 107 girls) aged between 7 and 15 years were enrolled in the present study. The...
The difference between the two methods for myocardial performance index in children
Jae-Il Joung, Chang-Hyun Lee, Jae-Kwang Kim, Kie-Young Park, Bong-Sung Kim, Jung-Ju Lee, Myung-Ki Han
Clin Exp Pediatr. 2006;49(12):1324-1328.   Published online December 15, 2006
목 적 : 소아를 대상으로 고식적인 심초음파와 도플러 초음파를 이용하여 서로 다른 두 방법으로 측정한 심근 수행 지수의 차이를 알아보는 것이다. 방 법 : 2005년 12월부터 2006년 2월까지 강릉 아산 병원을 방문한 정상 심장을 가진 27명의 소아를 대상으로 하였다. 우선 심첨 4방 단면도에서 승모판 유입 혈류 도플러로부터 a1간격을 측정하고, 심첨 5방 단면도에서 ET1을 측정하였다. 그런 연후, MPI1, ICT1 그리고 IRT1을 계산하였다....
Investigation of causes of FUO (fever of unknown origin) in children
Hyun Seok Park, Sun Ju Im, Su Eun Park
Clin Exp Pediatr. 2006;49(12):1282-1286.   Published online December 15, 2006
Purpose : The causes of prolonged fever have changed during the years and are influenced by age, geographic location and availability of diagnostic facilities/techniques. The aim of the present study was to determine the causes of prolonged fever, to know the proportion and outcomes of undiagnosed children. Methods : We reviewed patients with fever persisting for more than 2 weeks in...
Cause of enteroviral infection in children in chungnam area summer, 2005
Se Yun Jeon, Suk Joo Choi, Yong Bae Kim, Hae Seon Nam, Kwi Sung Park, Kyung Ah Baek, Joon Soo Park
Clin Exp Pediatr. 2006;49(11):1186-1193.   Published online November 15, 2006
Purpose : Enterovirus infection is a type of viral infection that occurs relatively frequently in children during summer. It has clinical symptoms of non-specific fever, aseptic encephalomeningitis, gastrointestinal diseases, skin rash and, hand-foot-mouth disease. However, it can also occcaisionally, result in fatal symptoms like myocarditis, epicardial inflammation, transverse myelitis, quadriplegia and etc. There have been epidemic enterovirus studies, but not...
Clinical significance of cerebrospinal fluid pleocytosis in pediatric refractory status epilepticus
Jung Mi Kim, Young Mi Kim, Soon Hak Kwon
Clin Exp Pediatr. 2006;49(10):1086-1092.   Published online October 15, 2006
Purpose : Refractory status epilepticus(RSE) is a serious neurological emergency in children. The mortality is high and the neurological outcome is not good. This study aimed to evaluate the clinical significance of cerebrospinal fluid(CSF) pleocytosis in refractory status epilepticus in children. Methods : From January 1999 to January 2006, 25 out of 37 children with refractory status epilepticus had...
Effect of combined exercise on metabolic bio-marker in overweight and obese children
Hyun-Jun Kim, Tae-Un Kim, Sangyeoup Lee, Goon-Soo Shin, Young-Joo Kim, Su-Yung Kim
Clin Exp Pediatr. 2006;49(9):946-951.   Published online September 15, 2006
Purpose : The purpose of this study was to demonstrate the effectiveness of combined exercise for 12 weeks on the adiponectin and obesity related variables in overweight and obese children. Methods : Eighteen children in 5th grade in a certain elementary school in Busan were recruited. They were all overweight or obese children(more than 85 percentile in body mass index). Nine...
Case Report
A case of constrictive pericarditis presenting with protein-losing enteropathy
Jeong Mi Hong, Jae Young Lee, Soo Jin Kim, Gi Young Jang, Woo Sup Shim
Clin Exp Pediatr. 2006;49(8):898-901.   Published online August 15, 2006
Constrictive pericarditis represents a rare cause of protein-losing enteropathy in children. Reported is an 11-year-old girl with protein-losing enteropathy (PLE) as the principal manifestations of constrictive pericarditis. After total pericardiectomy, symptoms and signs of PLE disappeared. Doppler echocardiography including tissue Doppler imaging is a useful noninvasive initial diagnostic tool for differential diagnosis of diastolic heart failure.
Original Article
Bacteremia in pediatric cancer patients : A single center study
Sun Mi Park, Byung Kyu Choe, Chun Soo Kim, Joon Sik Kim, Heung Sik Kim, Nam-Hee Ryoo
Clin Exp Pediatr. 2006;49(8):882-888.   Published online August 15, 2006
Purpose : Bacteremia is one of the major concerns in the treatment of pediatric cancer patients. This study was to determine the etiologic agents and the pattern of antibiotic susceptibilities in a single tertiary medical center. Methods : We retrospectively reviewed the medical records of the cases of bacteremia in pediatric cancer patients from 1998 to 2005 in Keimyung University Dongsan...
Histiocytic necrotizing lymphadenitis in children : association of human herpes virus 8 and Epstein Barr virus
Hyun A Kim, Ju-Young Chung, Sang Woo Kim, Sung Jig Lim, Haeng Seop Shin
Clin Exp Pediatr. 2006;49(8):875-881.   Published online August 15, 2006
Purpose : The aims of this study were to analyze the clinical characteristics of children with Kikuchi's disease(KD) at a medical center and to investigate the etiologic role of human herpesvirus 8(HHV 8) or Epstein-Barr virus(EBV) in children with KD. Methods : Twenty six children who were diagnosed as KD between Jan. 1998 and Dec. 2005 were included....
Susceptibility tests of oral antibiotics including cefixime against Escherichia coli, isolated from pediatric patients withcommunity acquired urinary tract infections
Soo Young Lee, Jung Hyun Lee, Jong Hyun Kim, Jae Kyun Hur, Sun Mi Kim, Sang Hyuk Ma, Jin Han Kang
Clin Exp Pediatr. 2006;49(7):777-783.   Published online July 15, 2006
Purpose : Urinary tract infection(UTI) is one of the most frequent infections in children. E. coli is the most frequent etiological micropathogen in pediatric community UTI, and E. coli has developed resistance to many antibiotics, highlighting the need for regular surveys of this organism resistant patterns in the community. The aim of this study was to determine the oral antibiotic...
Database study for clinical guidelines of children with pneumonia who visited an emergency department
Dae Young Hong, Kyung Mi Lee, Ji Hye Kim, Jun Sig Kim, Seung Baik Han, Dae-Hyun Lim, Byoung Kwan Son, Hun Jae Lee, Kyung-Hee Lee
Clin Exp Pediatr. 2006;49(7):757-762.   Published online July 15, 2006
Purpose : Pneumonia is one of the most common infections in children who visit emergency departments(ED), but standard clinical guidelines for children with pneumonia in Korea have not been studied. This study was performed to collect and evaluate a data-base of children with pneumonia for establishing clinical guidelines in ED. Methods : This study reviewed 304 children who were diagnosed...
Clinical characteristics and outcomes of status epilepticus as an initial seizure in children
Mi Jeong Kim, Young Ok Kim, Sun Hee Kim, Woo Yeon Choi, Hyung Suk Byun, Chan Jong Kim, Young Jong Woo
Clin Exp Pediatr. 2006;49(6):659-664.   Published online June 15, 2006
Purpose : To evaluate the morbidity and mortality of children with status epilepticus(SE) as an initial seizure and to compare these according to age groups. Methods : The 78 cases(38 cases <2 years and 38 cases ≥2 years) with SE as an initial seizure admitted to the Chonnam national university hospital from Jan. 2000 to Jan. 2004 were reviewed. Developmental profiles,...
Review Article
Allergic rhinitis in children : diagnosis and treatment
Yeong-Ho Rha
Clin Exp Pediatr. 2006;49(6):593-601.   Published online June 15, 2006
Allergic rhinitis is a common disease of childhood characterized by nasal, throat, and ocular itching, rhinorrhea, sneezing, nasal congestion. Those affected with allergic rhinitis often suffer from associated inflammatory conditions of the mucosa, such as allergic conjunctivitis, rhinosinusitis, asthma, otitis media with effusion, and other atopic conditions, such as eczema and food allergies. Allergic rhinitis must be diagnosed and treated...
Original Article
Human metapneumovirus infection in Korean children
Hee-Hyun Yeom, Joon-Soo Park, Dong-Jun Jeong, Chang-Jin Kim, Yong-Bae Kim, Dea-Hoon Lee, Kyung-Joong Kim, Jong-Yoon Chun, Chun Kang, Yoon-Seok Chung, Hyang-Min Cheong
Clin Exp Pediatr. 2006;49(4):401-409.   Published online April 15, 2006
목 적 : 호흡기 감염증의 주된 원인 중 하나인 hMPV가 2001년 van den Hoogen 등에 의해 네덜란드에서 처음으로 발견된 후 여러 나라에서 보고되었지만, 국내에서 hMPV의 검출에 대한 보고는 대단히 드물다. 따라서 저자들은 우리나라에서 hMPV의 역학을 연구하고자 하였다. 방 법 : 2004년 10월부터 2005년 5월까지 순천향대학교 천안병원 소아과에 급성 하기도염으로 입원한 218명의 비인두 흡인액을 추출한 뒤 RT-PCR을 시행하고, hMPV가 검출된 환아들의 비인두...
Review Article
Headaches in children and adolescents : diagnosis and treatment
So Hee Eun, Baik-Lin Eun
Clin Exp Pediatr. 2006;49(4):354-363.   Published online April 15, 2006
Headaches are common in children and become more common and increase in frequency during adolescence. There are various causes of headaches. The majority of cases are considered as primary and include migraine and tension headaches. The rational evaluation of headache begins with careful history. Migraine is genetically determined recurrent pain syndrome accompanied by neurological and gastrointestinal features, involving interaction of...
Case Report
A case of a child with non-parasitic chyluria
Da Eun Jung, Ja Wook Koo, Sang Woo Kim, Hae Il Cheong
Clin Exp Pediatr. 2006;49(3):326-328.   Published online March 15, 2006
Chyluria is the passage of milky urine due to the leakage of lymph into the urinary tract. Chyluria occurs predominantly in adults and is rare in children. We present an unusual case in which a child with proteinuria, hematuria and milky urine was subsequently diagnosed with non-parasitic chyluria. Retrograde cystogram confirmed a lymphatico-calyceal communication. This case showed spontaneous remission. The...
Original Article
Helicobacter pylori reinfection rate by a 13C-urea breath test and endoscopic biopsy tests in Korean children
Jeong Ok Shim, Jeong Kee Seo
Clin Exp Pediatr. 2006;49(3):268-272.   Published online March 15, 2006
Purpose : The reinfection rate of H. pylori reported before 13C-urea breath test(13C-UBT) era was higher than that of the post 13C-UBT era. Children are usually reluctant to receive invasive endoscopic evaluation for the reinfection of H. pylori, particularly when they are asymptomatic. The aim of the study is to discover the reinfection rate by different diagnostic tests, and to...
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