Severe iron deficiency anemia is occasionally accompanied by hypoproteinemia and edema. There is evidence that the hypoproteinemia is caused by increased intestinal loss of serum protein. We experienced a case, 1 year and 6 months old female patient with generalized edema, diagnosed as iron deficiency anemia with hypoproteinemia. After treatment with ferrous iron preparation, generalized edema was subsided, and hemoglobin value and serum protein... |
In order to elucidate clinical and laboratory findings of the iron deficiency anemia(IDA) in childhood along with diagnostic significance of serum ferritin, 207 patients were analyzed retrospec- tively, who were hospitalized at Department of Pediatrics, Kyung Hee University Hospital from January 1981 to December 1986. The results were as follows; 1) The incidence of IDA in In-Patient was 1.6%. 2) The sex ratio of male to female was... |
We experienced a case of autoimmune hemolytic anemia in 3-year-old male patient associated with acute viral hepatitis B. Characteristic findings of this disease are pallor, fever, tachycardia, jaundice, hemoglobinuria, of which the onset is acute or chronic. Although the pathogenic mechanism of this disease is uncertain, it can be associated with pneumonia, measles, varicella, viral hepatitis (50%) and underlying autoinunune deficiency (32%). Diagnosis... |
We experienced a case of Gaucher’s disease of acute infantile type in a 12 month old male boy. The patient showed hepatosplenomegaly with anemia and thrombocytopenia, developmental delay and frequent infection. There were characteristic Gaucher’s cells in bone marrow aspiration and biopsy of liver, spleen, & lymph node. Splenectomy was done at 25 month old. He expired 3 days after splenectomy. Autopsy was done.... |
We experienced a case of adult type Gaucher's disease in 14 month old male. The patient showed hepatosplenomegaly with anemia and characteristic Gaucher cells in bone marrow aspiration and biopsy of liver and spleen both in light microscopic and electromicroscopic examination. Splenectomy was followed by improvement of anemia and thrombocytopenia but hepatomegaly remained even progressed. A brief review of literature was... |
We reviewed a case of autoimmune hemolytic anemia caused by warm antibody in 7years old male patient. Diagnosis was established by clinical features, physical findings, laboratory findings, such as, CBC, Coombs’ test, fragility test, and bone marrow aspiration. Literatures were briefly reviewed. |
Ferritin is a high-molecular weight iron compound consisting of a protein shell, which has normally been considered as a storage compound from which iron is readily mobilized either into the transferrin-bound plasma pool or for intracellular heme synthesis. For comparison of serum ferritin concentrations in anemic patients of various diseases, we measured serum ferritin concentrations, serum iron concentrations, total iron... |
Neonatal period is marked with constantly changing hematologic process due to a number of physiologic and pathologic factors, and with risk of underdiagnosis or misdiagnosis of anemia of various causes. Therefore, prompt diagnosis of anemia and accurate identification of its underlying causes would be essential to arrive at the appropriate management and to avoid occasional serious complications. 104 full term... |
Bone marrow cell cultures (GM-CFU) were performed in the 15 cases of children with aplastic anemia and the correlation with the clinical course were investigated. They have been treated with androgen with or without low dose prednisone and supportive care. Bone marrow cell cultures from 8 children without any evidence of aplastic anemia were performed as a control. 1)In control... |
Congenital hypoplastic anemia is a rare disease characterized by aplasia or severe hypoplasia of the erythron, with onset usually at birth or during early infancy. This report presented three cases of congenital hypoplastic anemia in 3 infants with pallor and irritability which were noticed since one to three months of age. Three cases were treatsd with prednisolone and the courses of... |
We observed a case of congenital hypoplastic anemia in a 10 month old male patient who was diagnosed through bone marrow aspiration. This steroid-unresponsive patient has been maintaining a concentration of hemoglobin compatible with health from supportive transfusion therapy. A brief review of related literature was made. |
We observed a case of congenital nonspherocytic hemolytic anemia who was a 24 month old boy with the signs of jaundice 技 pallor. Evidences of the same disease was also found in the patient' s elder brother & father. We diagnosed these cases by history & physical examination, peripheral & B.M. blood smears, osmotic fragility test, autohemolysis test and etc. A... |
Recently, we experienced two cases of aplastic anemia following hepatitis in 6 and 12year old boys. A 6 year old boy was admitted to Jeonbug National University Hospital in Dec. ’82, because of frequent expistaxis and petechiae on entire body. He had a history of hepatitis 2 months ago. On admission liver function was normal and pancytopenia was revealed. Bone... |
The author reviewed the clinical findings of the 53 children diagnosed as aplastic anemia at the pediatric department of St. Benedict Hospital and W.M. Baptist Hospital, Busan, during a period of 12 years from January 1971 to December 1982. The results were summarized as follows: 1) Among the 53 children with aplastic anemia, the ratio between male and female was1.4 : 1. The male was... |
Aplastic Anemia following Hepatitis is an uncommon disease and it has a poor prognosis. Recently the authors experienced two cases of aplastic anemia following hepatitis in a 13 year old girl and a 14 year old boy. The thirteen year old girl was admitted following 2 months of Jaundice and 1 day df epistaxis. . At admission, pancytopenia developed and her... |
We have observed clinically about 161 cases of anemia among 251 patients who were admitted to Y.D.P.C.H. The results were obtained as follows: 1)The incidence of anemia among total admitted patients (251) was 64.1% (161 cases). These were grouped into mild & moderate anemia(58.2%) and severe anemia (5.9%) on the base of hemoglobin level. 2)The sex ratio was aproximatly 1.5 : 1... |
We experienced 2 cases of Gaucher' s disease of adult type in brothers when their ages were 4 year 1 month and 3 year 10 month respectively. They showed remarkable hepatosplenomegaly with mild hematologic complications and characteristic histiocytoid cells in the spleen and liver biopsies. Splenectomy was followed by improvement of anemia and labored respiration in both patients. In case... |
We report 1 case of Fanconi’s anemia which has severe pancytopenia, increased fetal Hb, hyperpigmented skin, absence of right thumb and metacarpal bone, retardation of bone age and chromosomal abnormalities with a brief review of related literature and references. |
We experienced a case of aplastic anemia following hepatitis in a 11-year old male child. He was admitted because of pallor and gum bleedings with an episode of hepatitis 2 months prior to this admission. On admission CBC showed pancytopenia and there was marked hypocellularity of all hematopoietic elements in bone marrow aspiration. Transfusion and treatment with prednisolone and oxymetholone were tried but... |
Recently we experienced a case of Fanconist anemia in a 6 years old male child and reported with brief reviews of literatures. The initial symptom was nasal bleeding and pallor which observed between age of 4 years to 6 years. He was microcephaly, His both thumbs were rudimentary. Cystogenic study showed chromosomal breakage. Bone marrow study showed hypocellularity. |
The Authors report A Case of Congenital Hypoplastic Anemia with congenital megacoloit in a about one month old male infant who was admitted because of abdominal distension, failure of passing meconium for 96 hours and pale anemic face. This syndrome was diagnosed by clinical and laboratory findings: normochromic anemia, reticulocytopenia, developing early infant, bone marrow with normal cellularity and deficiency of red cell precursor. A... |
We observed a case of congenital hypoplastic anemia in 22 months old Korean male infant whose clinical and hematologic improvement was achieved by administration of prednisone. A brief review of related literatures was made. |
Authors have observed a case of congenital hypoplastic anemia in 18 months old male patient who was diagnosed through the bone marrow aspiration. The liver was enlarged and the biopsy specimen disclosed iron deposition in the hepatocyte, which was thought to be resulted from multiple blood transfusion and administration of iron preparation. A brief review of related literature was made. |
We have seen 96patients who were admitted with purpura to the Pediatric Department of Kwangju Christian Hospital during the period of 10 years from Jan., 1971 to Dec., 1980. The following observations were made; 1) Leukemia(26 cases, 27.0%) was the most common underlying disease, followed by allergic purpura (25 cases, 26.0%), idiopathic thrombocytopenic purpura (22 cases, 22.9%), Aplastic Anemia (13 cases, 13.5%), sepsis (5 cases,... |
A case of aplastic anemia following hepatitis is presented. A 13-year-old boy was admitted due to unexpected bleeding manifestations after recovery from hepatitis. There was marked pancytpenia and examiation of bone marrow revealed remarkable hypoplasia. His clinical course became worsened despite antibiotics, multiple transfusions and therapy with corticosteroid, oxymetholone. Related literatures are also briefly reviewed. |
Iron deficiency anemia (IDA) is the most common nutritional anemia among chidren. A study on the changes of platelet count in IDA was conducted with 83 children who were diagnosed at the Severance Hospital in a 5 J/2-year pericd from Jan. 1975 to Jun. 1981. The results are summarized as follows. 1. IDA was most common among chidren younger than 2-years(61%) due to nutritional deficiency. It... |
Capillary samples obtained by skin prick, generally from the heel or toe, have a higher hemoglobin Concentration than simultaneously collected venous samples. So, capillary values should not be compared to previously obtained cord venous blood values when one is looking for changes in hemoglobin, concentration during the first week of life. Cord venous blood hemoglobin and hemotocrit of 309 normal newborn infants have been... |
A serum ferritin level is now the most sensitive and specific assay for iron deficiency. Incidence of iron deficiency anemia was determined by means of the serum ferritin level and the response to iron therapy, and changes in serum ferritin level were observed in 421 hospitalized pediatric patients with various diseases. The results were as follows : 1. Incidence of... |
Nutrition is thought to be much more important to the handicapped for their growth and development and successful management of their disease because they have much more complexed problems in physical, emotional, familial, and socioeconomic aspects. The authors determined number of erythrocytes and leukocytes, quantity of hemoglobin, hematocrit, reticulocyte, number of platelets for the survey of anemia to evaluate the... |
Surgically corrected congenital hiatal hernia associated with anemia has been presented. A 1 year old boy has been complained of severe pallor and fever on admission. Reentgenologic examination revealed thoracic stomach and then the hernia was repaired by transabdominal approach. It was found to be a paraesophageal type hiatal hernia. Pathogenesis and complications of congenital histal hernia were discussed and... |
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