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Original Article
Prophylactic Effect of Diazepam to Prevent Recurrent Febrile Seiz
Seung Eun Choi, Ki Sik Min, Jong Wan Kim, Kwang Nam Kim, Ki Yang Ryoo
Clin Exp Pediatr. 1995;38(5):685-691.   Published online May 15, 1995
Purpose : The purpose of this study was to investigate efficacy of shortterm diazepam prophylaxis in recurrent febrile seizure. Methods : A total of 107 children admitted to the department of pediatrics, Kangdong Sacred Heart Hospital, Ballym University from 1 July 1991 to 31 December 1992, with their first or recurrent febrile seizures(one or two times), were entered in the study,...
Case Report
Familial Erythrophagocytic Lymphohistiocytosis in Siblings
Eun Sook Lee, Ji Eun Choi, Dug Ha Kim, Hae Ran Lee, Chong Young Park
Clin Exp Pediatr. 1995;38(3):428-434.   Published online March 15, 1995
Familial erythrophagocytic lymphohistiocytosis(FEL) is an uncommon disorder characterized by multi-organ infiltration with phagocytic histiocytes and macrophages. It is a familial discorder presenting during infancy or young childhood with fever, hepartosplenomegaly, pancytopenia, bleeding diathesis, hypertriglyceridemia and neurologic manifestations. The course of the disease is extremely lethal and diagnosis of the disease during lifetime is very difficult. Exact diagnosis can only be...
Original Article
Clinical Study of Foreign Body Aspiration in Infants and Children
Dong Kyun Ryu, Su Jin Park, Kang Seo Park, Wan Seob Kim
Clin Exp Pediatr. 1995;38(1):66-74.   Published online January 15, 1995
A clinical study was done on 42 cases of inpatients, who had been admitted for foreign body aspiration form January 1979 to June 1992. We obtained the following results by analysing the records of their treatment during that time. 1) 31(73.8%) of these cases were below the age of 3 years. 25(59.4%) were below the age of 2. The ratio of male...
Case Report
A Case of Stillbirth Due to Fetomaternal Transfusion
Jin Min Choi, Myoung Bae Jeon, Byung Joo Park, Jung Hye Choi, Seoung Yul Lee, Dong Won Choi
Clin Exp Pediatr. 1994;37(12):1762-1766.   Published online December 15, 1994
Transfer of large quantities of fetal blood across the placental barrier to the maternal circulation is a rare occurrence which results in severe anemia in the newborn infants. This phenomenon is believed to occur most often during labor and delivery and apparently, is more frequent when abnormal obstetric conditions are present. However, fetal erythrocytes have been identified in the naternal...
Original Article
Diagnosis of Thoracic Lesions in Children by Fine Needle Aspiration Biopsy
Dong Nam Kim, Nam Su Kim, Hahng Lee, Jong Sung Kim, Suk Chul Jeon
Clin Exp Pediatr. 1994;37(11):1559-1564.   Published online November 15, 1994
To elucidate the clinical availability of FNAB, we reviewed retrospectively medical records of 30 patients who had infiltrative pulmonary lesion or pulmonary nodule of mediastinal mass, and got percutaneous fine needle aspiration biopsy using Wescott needle, 20~22 gauge, at the department of Pediatrics, Hanyang university hospital from July, 1986 to June, 1993. The obtained results were as follow: 1) There were 30...
The Study on the Clinical Significance of the Finger Extension Reflex in Early Infancy
Seong Yeob Moon, In Joon Seol
Clin Exp Pediatr. 1994;37(10):1350-1356.   Published online October 15, 1994
The finger extension reflex was performed to the 419 normal infants without CNS abnormalities that visited to the well baby clinic and out-patient department, and so to the patients with CNS abnormalities on the brain sonography and brain CT under the age of 2 months from May 1992 to September 1993 in the department of pediatrics, Hanyang university hospital. The results...
Case Report
A Case of Cerebral Infarcion due to Thrombosis Associated with Focal Segmental Glomerulosclerosis and Steroid Resistant Nephrotic Syndrome
Dae Woo Kim, Heon Lang Park, Sang Man Shin, Eun Mi Kim
Clin Exp Pediatr. 1994;37(9):1317-1324.   Published online September 15, 1994
Focal segmental glomerulosclerosis is the renal histopathologic lesion observed in 10% of children with idopathic nephrotic syndrome. Complications include infection, thrombosis, hypocalcemia and adverse effect of steroid use. The incidnce of thrombosis reported ranges from 10~40%. The pathogenesis are changes in coagulation system, decrease of Antithrombin III, increase platelet aggregability and steroid or diuretics use. These changes take place passively...
Familial Hemophagocytic Lymphohistiocytosis
Dong Un Kim, Dae Kyun Koh, Yeon Dong Lee, Jae Kyun Hur, Kyoo Hong Cho, Suk Jin Kang
Clin Exp Pediatr. 1994;37(9):1279-1285.   Published online September 15, 1994
Familial hemophagocytic lymphohistiocytosis (FHL) is a rare disease characterized by fever, hepatosplenomegaly, cytopenia and non-malignant lymphohistiocytic infiltration with hemophagocytosis in reticuloendothelial organs. We experienced three cases of FHL in identical male twins and their younger brother who presented with fever and severe hepatosplenomegaly. Cytompenia, elevated serum transaminase and low serum albumin levels, hypertriglyceridemia were common laboratory findings of them. One of...
Original Article
Study on Iron Deficient State in the Female Adolescent Athletes
Pil Seob Shim, Ja Hyun Park, Dong Gun Park, Kwang Chul Lee, Young Chang Tockgo
Clin Exp Pediatr. 1994;37(7):953-960.   Published online July 15, 1994
Iron deficient state occurs commonly in the athlets, and the cause may be cause may be inadequate iron intake, loss of iron from sweat, blood loss of gastrointestinal tract, and hematuria. The age of the athletes ranged from 11 to 17 years old. I messured red blood cell count, hemoglobin, hematocrit, and related hematologic factors in the 32 adolescent female...
Clinical Studies on Risk Facotrs of Recurrnces after first Febrile Convulsions in Infancies and Early Childhood
Hee Kyung Chun, Hyun Ki Joo, Mi Soo Ahn, Ji Sub Oh
Clin Exp Pediatr. 1994;37(6):786-793.   Published online June 15, 1994
The aim of this study was to evaluate the risk factors of recurrences after their first febrile convulsions in infants and young children. Dlinical studies were made on 187 cases of febrile convulsions who were admitted to the department of pediatrics of Wallace Memorial Baptist Hospital from March, 1990 to December, 1992 1) 63 cases of 187 cases had recurrences after their...
Evaluation of Fever Reducing Methods in Children
Soo Young Lim, Hwa Jeong Lee, Seung Hee Mok, Heui Jeong Kwon, In Sil Lee
Clin Exp Pediatr. 1994;37(6):746-751.   Published online June 15, 1994
The efficacy of acetaminophen, sponging plus acetaminophen, and sponging alone as method of lowering body temperature was compared in 108 children aged 8 weeks to 5 years who presented with an axillary temperature of 38.5C or greater during the period from January 1993 to April 1993. The following results were obtained. 1) The male to female ratio was 2.5:1 and clinical diagnosis...
Normal Fetal echocardiography
Seock Joong Yoon, Sung Jin Hong, Hyung Gu Cho, Jung Wan Yoo, Dong Chul Park
Clin Exp Pediatr. 1994;37(5):606-611.   Published online May 15, 1994
Fetal echocardiography is used by means of decleration of fetal cardiac anaxtomy, to estabilish the diagnosis of congenital heart disease in utero. We attemped fetal echocardiography to ninty three pregnant women after intra uterine period 24 weeks, and estimated cardiac circumference, cardiac axis, pulmonary atery root diameter, arortic root diameter, diameter of inferior vena cava, diameterof superior vena cava, and...
Case Report
Furosemide-Induced Nephrocalcinosis in Very Low Birth Weight Infants
Clin Exp Pediatr. 1994;37(4):553-559.   Published online April 15, 1994
Renal calcifications are a recognized complication of furosemide therapy in premature infants. Particularly in infants with chronic lung disease, the use of this potent diuretic is associated with hypercalciuria, which may predispose the infant to medullary nephrocalcinosis and renal calculi. We experienced two cases of nephrocalcinosis in very low birth weight infants. One had bronchopulmonary dysplasia, pneumonia, patent ductus arteriosus,...
Original Article
Tc-99m HMPAO Brain SPECT in a Patient with Neonatal Seizure and Right Cerebral Hemiatrophy
Hye Young Kang, Kook In Park, Ran Namgung, Chul Lee, Chang Jun Coe, Dong Gwan Han, Tae Sub Chung, Woo Hee Jung
Clin Exp Pediatr. 1994;37(3):397-404.   Published online March 15, 1994
Functional brain imaging is very important in the diagnosis and evaluation of the various neurologic disorders. In addition to electroencephalography (EEG) and positron emission tomography (PET), single photon emission computed tomography (SPECT) have increasingly gained importance in determination of disturbances in regional brain functions. Both ictal and interictal Tc-99m hexamethyl-propyleneamine oxime single photon emission computed tomography (Tc-99m HMPAO SPECT) was done...
Clinical Study of Febrile convulsion and Factors Related to Recurrence
Jong Gyun Kim, Keon Su Rhee, Young Hun Chung
Clin Exp Pediatr. 1994;37(1):1-8.   Published online January 15, 1994
We have reserched the relationship of their clinical pictures and factors related to the risk of recurrence of 75 patients with simple or complex febrile convulsions, who were admitted to the Department of Pediatrics, Chungnam National University Hospital from January 1987 to July 1991. The 75 patient were followed up and consisted of the 55 patients with initial or non-recurrent...
Case Report
A Case of Fetus-in-Fetu
Jong Hyun Kim, Ik Jun Lee
Clin Exp Pediatr. 1993;36(12):1761-1764.   Published online December 15, 1993
Fetus-in-fetu is a very rare condition in which a malformed monozygotic twin lies within the body of its fellow, usually in the retroperitoneal cavity. Today it is generally accepted that the distinction between fetus-in-fetu and teratoma is largely determined by whether an axial skeleton system is present. We experienced a 6 months female infant who admitted to our unit because of...
A Case of Fetal Atrial Flutter with Hydrops Fetalis
Seong Hang Choi, Kee Hyoung Lee, Chang Sung Sohn, Ju Won Lee, Young Chang Tockgo
Clin Exp Pediatr. 1993;36(8):1165-1170.   Published online August 15, 1993
Fetal hydrops is often serious and associated with a high perinatal motality rate. Cardiac causes of fetal hydrops include congenital heart diseases and rhythm disturbances. An irregular fetal heart rate may indicate atrial fibrillation and atrial flutter with variable AV conduction. Fetal atrial flutter is characterized by the pressence of flutter waves which are regular sawtooth undulations in the baseline that...
Original Article
A Clinical Study on Febrile Convulsion
Jung Hwan Lee, Ki Hwan Yoo, Yong Sook Hong, Joo Won Lee, Soon Kyum Kim
Clin Exp Pediatr. 1993;36(6):850-857.   Published online June 15, 1993
Although febrile convulsion(FC) is a common clinical entity with a high recurrence rate, no specific factors have been identified to be highly predictive of its recurrence. A total to 114 cases of FC identified during a 28 month period (January, 1989-May, 1991) was analysed. A silght predominance of boys over girls(1.3 to 1.0) was observed. The majority of cases(89.4%) were under 3...
Case Report
A Case of Fanconi Syndrome
Young Woon Lee, In Seok Lim, Chul Ha Kim
Clin Exp Pediatr. 1993;36(5):737-442.   Published online May 15, 1993
Fanconi syndrome is a complex of renal tubular dysfunction defined by glycosuria without diabetes, generalized aminoaciduria, phosphaturia, bicarbonaturia, uric aciduria, and renal tubular acidosis. It is often associated with hypokalemia, hypophosphatemia, rickets and osteomalacia. We have experienced one case of Fanconi syndrome with chronic tubulointerstitial nephritis. The patient was a 4 year and boy and his chief complaints were polyruia, polydipsia,...
Original Article
Analysis of Foreign Body in the Children's Airway and Follow-up Study
Jae Hong Park, Chan Yung Kim
Clin Exp Pediatr. 1993;36(2):169-178.   Published online February 15, 1993
The autor analysed foreign body in the airway, divided into two groups vegetable foreign body group(VFBG) and non-vegetable foreign body group(N-VFBG), according to the nature, in 88 patients aged from 5 months to 15years who were diagnosed and treated under ventilating bronchos copy at Department of Pediatrics and Otolaryngology, Pusan National University Hospital from 1980 to 1990. Of the 88...
Foreign Body in the Upper Gastrointestinal Tract in Infants and Children
Sang Heui Song, Ki Sup Chung
Clin Exp Pediatr. 1993;36(1):17-24.   Published online January 15, 1993
The accidental swallowing of foreign bodies by infants and children is a common problem. The proper methods of therapy must be carefully selected according to the age of the patient, the type of foreign body, the location of impaction, the duration of ingestion, and the available medical resoruces and skills. This report reviews 41 cases of ingested foreign bodies in...
Quantitative Assessment of the Diameters of Tricuspid Valve, Mitral Valve and Great Arteries in the Normal Human Fetus -Cross Sectional Echocardiographic Study-
Jung Yun Choi, Kyung Hee Park, Chung Il Noh, Yong Soo Yun, I Seok Kang, Eun Sook Han
Clin Exp Pediatr. 1992;35(11):1566-1572.   Published online November 15, 1992
In order to assess the growth of the mitral valve, tricuspid valve, and the aortic and pulmonary pathways in the normal human fetus, 181 fetal echocardiograms taken from 127 pregnant women (some women had repeated examinations) were analysed. Diameters were measured from cross sectional images and were correlated with gestational period. The diameter ratios of tricuspid valve/mitral valve, aorta/main pulmonary artery,...
Case Report
A Case of Fukuyama Type Congenital Muscular Dystrophy
Young Eun Lee, Min Hyea Kim, Keun Lee, Eun Chul Chung, Hyea Soo Koo
Clin Exp Pediatr. 1992;35(10):1463-1468.   Published online October 15, 1992
Fukuyama type congenital muscular dystrophy is characterized by mental retardation, progressive muscle weakness and hypotonia, joint contracture and seizures in half of the reported cases. The usual CT abnormalities are dilated cerebral ventricles and Sylvian fissures and lucency of cortical white matter. The most consistent pathologic findings in the brain are polymicrogyria and pachygyria, caused by a disturbance of migration...
Original Article
The Perceptions and Attitudes of Parents and Medical Personnel Toward Fever of Children
Hyo Nam Cho, Jung-Hwan Choi, Chong Ku Yun
Clin Exp Pediatr. 1992;35(6):776-787.   Published online June 15, 1992
Children commonly complain of suffering fever ; however, as studies have demonstrated, parents of a febrile infant or young child are inclined to become overly concerned. The pupose of this study was to investigate the perceptions and attitudes of medical personnel as well as parents. The parents of 189 children and 150 medical personnel (47 nurse-aides, 56 nurses, and 47 doctors)...
Weight and morphologic development of prenatal human thymus.
Il Soo Ha, Kwang Wook Ko, Je Geun Chi
Clin Exp Pediatr. 1991;34(8):1057-1069.   Published online August 31, 1991
Thymus is a primary lymphoid organ which has an important role in maturation of immune competence. This organ matures earlier than the other organs, and the informations about its prenatal development are essential to understand the maturation of human immunity. To delineate the weight and morphologic development of prenatal thymus, the authors measured the weight of 221, and observed gross and histologic features of...
Effect of fluid restriction on postnatal weight and outcome in very low birth weight infants.
Chul Lee, Hyeon Soo Lee, Ran Namgung, Dong Gwan Han
Clin Exp Pediatr. 1991;34(3):348-354.   Published online March 31, 1991
We studied 45 very low birth weight infants for change in birth weight, urine output, serum Na level, ventilatory support and outcome between two groups after fluid restriction therapy. Group 1 (n=17) were infants whose weight loss were more than 5% of birth weight. Group 2 (n=17) were infants whose weight loss were more than 5% of birth weight. 1) Group 1 had more fluid...
A case of report fiber syndrome.
So Young Lee, Sun Yang Hong, Jae Hoon Shin, In Joon Seol
Clin Exp Pediatr. 1991;34(1):115-119.   Published online January 31, 1991
This is a report of 10 years old boy whose complete total ophthalmoplegia, ataxia and areflexia (Fisher syndrome) were the outstanding clinical features.
Clinical Characteristics and Prognosis of Fulminant Hepatic Failure in Infants and Children.
Keum Cheon Kim, Ki Sup Chung
Clin Exp Pediatr. 1990;33(10):1362-1373.   Published online October 31, 1990
29 patients admitted into Department of Pediatrics, Severance Hospital, Yonsei University, college of medicine during 16 years period from 1974 to 1989 with the diagnosis of fulminant hepatic failure were divided into 2 groups, live and expired groups. These patients were compared with sex, age distribution and etiology and in order to find the factors responsible for death platelet counts, prothrombin time, SGOT, SGPT,...
Clinical Study of Fulminant Hepatitis in Childhood.
Se Wook Oh, Chan Yung Kim
Clin Exp Pediatr. 1990;33(7):923-931.   Published online July 31, 1990
Twenty one cases of childhood fulminant hepatitis admitted to Pediatric department of Pusan National University Hospital form Jan. 1979 to Sep. 1989 were analysed. The results were as follows; 1) Age distribution was from 8 months to 13 yerars old and 66.7% of the patients were 2 to 9 year old of age. In sex ratio, male to female was 1,6:1. 2) Presumable etiologic factors were HBV...
A Clinical Study of Febrile Convulsion and Factors Related to Recurrence.
Soo Gi Kang, Myung Hee Yoon, Hyung Ja Park, Shinna Kim
Clin Exp Pediatr. 1990;33(6):772-779.   Published online June 30, 1990
65 Cases of febrile convulsion were reviewed in terms of their clinical pictures and factors related to their recurrences. Seemingly related factors are: 1) age of first episode: The age of first ipisode was under 12months of age in 11.4% of initial cases and 46.7% of recurrent cases. 2) family history of convulsive disorder: There were family history of convulsive disorder in 23.4% of recurrent cases, compare to...
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