Data obtained from 59 hospitalized patients with minimal change nephrotic syndrome which was confirmed by kidney biopsy, were analyzed for serum albumin, serum lipids, 24hr urine protein, creatinine clearanee, HDL-eholesterol. In 38 of the patients, lipoproteins were analyzed. The following results were obained 1. Serum phospolipid (PL) was increased whenever serum total cholesterol (TC) was increased but to a lesser degree. The ratio of TC/PL were... |
Clinical features of 20 patients who were diagnosed as tuberculous meningitis at Seoul National University Hospital from Jan. ’82 to Dec. ’82 were analyzed with special respect to their computed tomographic findings of the brain. Age at the onset of the disease ranged from 7 month. to 12 9/12 year with the mean age of 3 11/12 year. Fifteen cases were under... |
We have experienced two cases of pulmonary sequestrations. The first case, 49/I2 year old girl, was admitted for ths evaluation of recurrent pneumonia of left lower lung. The diagnosis of pulmonary sequestration was made by aortography, which demonstrate tortuous aberrant artery suppling the left posterobasal segment from the intrathoracic descending aorta at Tlo 유卜 level, and the sequestration was successfully resected by lobectomy. The... |
Premature separation of the placenta(abruptio placentae), as a serious obstetric complication, has been recognized to be associated with disseminated intravascular coagulation(DIC) in the newborn period. However, pathologic evidence for DIC generally has been lacking or rarely reported. Recently we have experienced one case of DIC in an infant born after abruptio placentae. The infant had suffered from cyanosis, dyspnea and... |
The clinical, laboratory, and renal biopsy finding in 22 chilren with recurrent hematuria are presented. 1.The mean age at oneset was 7 6/12 years, and male to female ratio was 1.8:1. The gross hematuric attack was preceded by upper respiratory infection in 15 cases(68%), while strenuo-us exercise in 10 cases(45%). Loin pain was accmpanied with gross hematuria in 4 cases(18%).... |
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... |
The clinical findings and follow-up data of 37 children with relapsing minimal change nephrotic syndrome were analyzed retrospectively. Among total 37 cases, 31 were male, and 6 were female. Male to female ratio was 5.2:1. All cases were admitted to the Pediatric Ward of Seoul National University Hospital more than one time, and percutaneous kidney needle biopsy which was performed... |
HBsAg, HBcAb and HBsAb were examined with radio-immunoassay in 265 patients with glomerular disease, who were admitted to wards or visited to outpatient clinics of department of pediatrics, Seoul National University Hospital, from Jan., 78 to Oct. 80, and in 576 control group, with other than liver disease and without history of transfusion. The incidence in glomerular disease was 10.2%(27... |
A hemorrhagic disease due to prothrombin complex deficiency os described in 4 infants from 1 to 11 months of age. This disease is different from the hemorrhagic disease of the newborn. The main differences are that it is found in an older age group and that intracranial hemorrhages are frequent. Rapid clinical and laboratory response after vitamin K therapy are... |
Methylprednisolone pulse therapy was performed for 8 patients of childhood nephrotic syndrome who showed resistance to conventional prednisolone therapy of 4 to 8 weeks. The pathological diagnosis of the patients were: 1 case of membranous nephropathy, membrano-proliferative glomerulonephritis, Menbranoproliferative glomerulonephritis with epithelial crescent (70%), sclerosing glomerulonephritis, mesangial proliferative glomerulonephritis, focal and global glomerulonephritis, and 2 cases of focal and segmental... |
Eleven cases of juvenile diabetes mellitus who were admitted Seoul National University Hospital from Jan., 1969 to Aug., 1978 were aha1yzed. The mean age of onset was 7 and female to male ratio was 8 to 3 with female preponderance. Four had family history of diabetes, although none had diabetic sibling. Polyuria and polydipsia were noted in all cases as... |
Ferrocholinate, choline citrate iron salt is a new chelate iron which is synthesized by reacting ferric hydroxide with choline dihydrogen citrate. Ferrocholinate is used in the prevention and treatment of microcytic, hypochromic anemias due to iron deficiency. Ferrocholinate does not release high concentrations of free ionic iron in the gastrointestinal tract and clinical reports, although limited, seem to indicate that... |
Clinical assessment of gestational age in 251 newborns of the term and post-term born at the Seoul National University Hospital from March 1977 to Sept. 1977 was carried out to study the correlaticn between the gestational age derived from LMP and the clinically estimated gestational age utilizing Lubchenco's method. The results are as follows; 1) number of items, among clinical... |
Statistical analysis for mortality of in-patient in pediatric ward in Seoul National University Hospital was carried out during the 3 years from Jan. 1974 to Dec. 1976. Total number of admitted patients was 2,234, of whom 172 expired. The following results were observed. 1. Total number of admission during the 3 years was 2,234, and male to female ratio was... |
The following results were obtained on clinical assessment to 11 cases of CRF who had been admitted to the Dept. of Pediatrics, SNUH, during the period from Sept., 1970 to Jan., 1977. 1. Age and sex ratio: Two cases were below 5 years old, the other two being between 5 and 10 years old, however, most cases (7 out of... |
The following results were obtained through the clinical review of 89 cases of tuberculous meningitis which were treated at the Department of Pediatrics of Seoul National University Hospital during the period of 3 years from June 1973 till May. 1976. 1. The highest incidence by age was noted as 80.9% under the age of 6years and 24.7% of cases were... |
Forty seven children with nephrotic syndrome were studied. No specific cause for nephrotic syndrome was found in all children except one with tridione induced nephrotic syndrome. Response to the initial continuous steroid therapy, relapsing patterns and factors affecting prognosis were evaluated in this study. All patients were followed up for more than 3 years. The mean period of observation was... |
A case of Turner s syndrome in 10-year-old girl with clinical findings of short stature, shot 4th metacarpal bone, widely spaced nipples, and retarded bone age was presented. Chromosomal study reveals 45, X in karyotype analysis without any structural abnormalities. The authors report the case with the review of Turner’s syndrome. |
Comparative studies were made of potassium,sodium and chloride level in the serum and cerebrospinal fluid in the patients with tuberculous meningitis in chidhood. The significant serum-cerebrospinal gradient was observed in the potassium level, but not in the sodium level whereas the normal concentration gradient between serum and cerebrospinal fluid is a great deal lessened in the chloride. And also the levels of sodium and chloride... |
The following results were obtained on clinical assessment to 50 cases of nephrotic syndrome who had been admitted to the Dept, of Pediatrics, SNUH, during the period from Jan., 1964 to Sept.1971. 1.Age of onset: The fifty percentage of the cases were found between 2 and 5 years old, with the average age of onset of 6 years. 2.Sex ratio: :Male... |
On 14 infants with so-called pseudocholera infantum who had been admitted to Seoul National University Hospital, during epidemics, from the late September to the early November of 1971, status of blood acid-base disturbances and serum electrolytes was evaluated, as well as its clinical features. Though its prognosis had been overall quite favorable, the patients with this disease syndrome were found to set in... |
A 3 year and 9 month old doy was admitted to pediatric ward, S. N.U.H., in deep diabetic coma state. Following 44 days of insulin treatment, we experienced 7 days of remission during the last period of his hospitalization. It is interesting as well as very rare to note a remission in juvenile diabetes mellitus. The case is presented with... |