A further case of acromesomelic dysplasia syndrome is reported in a twelve year old Korean boy born on January 15, 1971 at full term. His height was only 99.5 cm. on his visit to the outpatient department. The present case showed disproportionate shortening of the extremities, especially in the forearms, hands, shanks and feet together with most of the reported... |
This study include hundred and thirty-seven pediatric in-patients in whom EEG was performed at National Medical Center, from January, 1977 to Decmber, 1981. Clinical records and EEG of all subjects were analyzed and the following results were obtained. 1) The proportion of patients subjected to EEG ranged from 2.3 to 3.1 % (2. 6%) of total in-patients during five years of... |
Chief complaints of pediatric outpatients may reflect the patterns and severity of illnesses. As with the differences in prevalent illnessess in various periods of childhood, the chief complaints may also vary with age. This study was performed in order to investigate frequencies of various chief complaints in different age periods of childhood and rates of hospitalization for each chief complaint obtained at initial visit... |
Clinical observations were made on the 1,040 cases of tonsillectomy and adenotonsillectomy and the medical records of 628 patients among 1,040 cases admitted to the Department of Otolaryngology, National Medical Center, Seoul from January 1971 to December 1980 for tonsillectomy and actenoidectomy. The following results were obtained. 1) The total number of tonsillectomy and adenotonsillectomy increased to 2. 6 times during the ten year period. The proportion... |
The clinical aspects of childhood cryptococcosis were studied from ten patients admitted to the Pediatric ward of Seoul National University Hospital from January 1976 to December 1981 together with twenty-seven cases of childhood cryptococcosis reported in the Korean literatures. The following results were obtained. 1) The age was distributed between 1 4/12 and 13 5/12 years and males to females ratio was 1.3... |
A statistical assessment was carried out in two hundreds and eighty three inpatients and outpatients and fifteen mothers who were subjected to chromosomal analysis at Department of Pediatrics, Seoul National University Hospital, from January 1977 to February 1982. The following results were obtained: 1) Age distribution revealed 65.8% of all children subjected to chromosomal analysis to be: under 2 years of age. The number of... |
A case of pancreatic pseudocysts and bloody pancreatic ascites as complications of chronic pancreatitis in eleven-year-old girl was reported. She was admitted to the pediatric ward with chief complaints of abdominal distension and bloody ascites. About nine months prior to admission, when she was stuck by a bicycle, she had sustained a blow on her abdomen. She has been apparently... |
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... |
The authers experienced two cases of salt losing congenital adrenal hyperplasia. Case I was a 100 day old male infant, who had dehydration, failure to thrive, and diffusely pigmented skin. Very low plasma aldosterone and markedly increased urinary 17KS were observed. He had been, treated with daily DOCA injection and oral hydrocortisone, successfully. Case H was a 5 year and... |
Congenital hepatic fibrosis is a relatively rare liver disease in children and young adults,that is characterized by stony hard hepatomegaly and portal hypertension with relative preservation of liver function and underlying architecture. Since this Condition was first delineated by Kerr et al in 1961, approximately over 150 cases have been reported in the literature. However, congenital hepatic fibrosis was not... |
One hundred and twenty-seven children with psychologic problems were encountered by the author at twice weekly morning walk-in clinics of the pediatric department of Seoul National University Hospital during the nine months period from January through September 1980. Diagnostic clues for psychogenic origin of various somatic complaints were obtained from complete history taking, thorough physical examination, tests and laboratory procedures... |
The hand length, foot length, middle finger length as percentage of total hand length, palm length, height, birth weight head circumference of 143 neonates of gestational ages ranging from twen-five to fourty-two weeks were measured between 12 hours and 5 days of life in order to find out normal values and correation between them. The subjects were devided into three... |
Cushing's syndrome is a rare entity in pediatric age, and and mostly caused by adrenocotical tumor. We recently experiecd 2 cases of Cushing's syndrome, one, 13 year and 4 month old girl with bilateral adrenocortical hyperplasia, and one, 2 year and 4 month old girl with huge adrenocortical carcinoma measuring 14x13x8cm, thought to be congenital in origen. The former was... |
A statistical study on visually handicapped children was performed by The Committee on Health of Korean Pediatric Association from July to October, 1978. 3,930 boys and girls in middle school children(3rd grade; around 15 years of age) were studied and the results were obtained as follows; 1, 788 out of 3,930 children(20.1%) were visually handicapped. There were no sex preponderance.... |
The authors report a case of chylous ascites in a two month old boy with massive ascites. He was managed with repeated therapeutic paracentesis and skimmed milk feeding. A marked improvement was resulted in clinical symptoms and laboratory findings at the time of discharge to be followed-up at the outpatient service. A brief review of literatures is included |
We have treated 4-year-old with amikacin and rifampin, who suffered from bacterial meningitis due to gentamicin-resistant Pseudomonas aeruginosa. There was no complication during treatment. Even though we didint check audiometry and BUN and/or creatinine, urinalysis was normal and physical examination revealed no abnormalities. He had been treated fora about 3 months with various antibiotics including gentamicin, intravascular and intrathecal, and... |
Total thirteen cases of subacute bacterial endocarditis were seen at the Department of Pediatrics, Seoul National University hospital from January 1971 to September 1978. Among them, twelve patients' medical records were analyzed for clinical data and particular attention was given on the usefulness of pulmonary perfusion scan in the diagnosis of pulmonary infarction, which is the one of the frequent... |
A study on physically and mentally handicaped children was carried out by health commttee of korean pediatric Association on August, 1977. 654 children in 5 special children's Institutes in Seoul area were observed and the results obtained were as follows ; 1. 393 out of 654 cases were males and male to female ratio was 6 : 4. The most... |
Cryptococcosis is a subacute or chronic mycotic infection caused by cryptococcus neoformans with a special predilection for the lung, skin and central nervous system, but rarely involving the lymphatic system. Recently the authors have experienced two patients with cryptococcosis in volving the liver and lymph nodes. One was 31/4year old male and the other was 11 year old male. The... |
A typical case of collodion baby was reported. On admission, the entire skin surface of this infant was covered with collodion-like membrane with fissures and exfoliations. Flexion contracture of all four extrimities and ectropion of both eyes were also appeared on admission. The family history and laboratory findings were unremarkable. The skin lesions were almost completely healed after application of... |
The authors report a case of localized scleroderma in a 7-year-old girl. Three years prior to admission, she became aware of a small depressed patch in the right inguinal region. The lesion gradually enlarged by linear extension superiorly toward the lower abdomen and inferiorly to the external genitalia. Two years later, the original lesion extended to the left side of... |
The frequency of genetic disease among in-patients of Pediatric department, Seoul National University Hospital during two-year period from January 1972 to December 1973 was surveyed. A total of 1,413 admission records which included all but two-hundred sixteen patients whose records failed to specify primary diagnosis were subjected for present study. Primary diagnoses were classified into following seven categories: single-gene disorders,... |
A case of DiGeorge syndrome in 2-month-old male infant was presented with a brief review of literature. He was characterized by a malformed right ear, a short philtrum of the upper lip, polydactyly, hypocalcemia, generalized, convulsions and absence of the thymic shadow in a film of the chest. Although the generalized convulsions were abated with calcium gluconate therapy, he died on... |
A survey was carried out on some prevalent medical problems of children living in a doctorless area during the period of July 26 to July 29, 1973. Total two-hundred eighty-eight children among four-hundred fourty-two children who attended a mobile medical team organized by the Student Body of College of Medrcine, Seoul National University were observed for age, sex, chief complaints,... |
The over-all accuracy and reliability of prenatal sex determination by sex chromatin analysis in 739 samples of uncultured amniotic fluid cells were 97%(88〜 100%) and 82% (59〜 100%), respactively. The wide ranges in accuracy and reliability were influenced by variations in gestation period at amniocentseis, amount of fluid aspirated, number of cells counted, staining method used, and incidence of sex chromatin positive cells... |
Total ridge counts in normal Korean males and Jemales as well as individuals with sex-chro- mosomal aberrations were reported in this study. The mean total ridge count (TRC) in three hundreds and twenty-five school boys and too hundreds and eighty-nine school girls was 146±40. 2 S.D. (range, 88-208) and 132. 2±48.5 S.D.(range 74-203), respectively. The examinations of finger-tip pattern types, ridge counts and... |
An analysis of dermatoglyphics in normal Korean children was undertaken in order to survey the incidence of unusual dermal patterns. The results of direct observation of dermal patterns of each subject were tabulated, and percentage frequencies of each unusual dermal pattern and combinations of patterns were obtained. |
A case of total anomalous pulmonary venous return in a 10 year and 8 month-old female was presented. The patient was admitted with the chief complaints. of palpitation and growth retardation. The diagnosis was confirmed by right heart catheterization and angiocardiography. The review of literature was made briefly. |
Frequency of neonatal physiologic jaundice was investigated retrospectively through discharge summary notes of the newborn nursery of Seoul National University Hospital between May 1970 :and October 1970. The total number of infants included in the present study was 599. 1)The incidence of neonatal physiologic jaundice in this series was 47. 9% which probably represents less than true incidence since there... |