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... |
Motor delay, when present, is usually the first concern brought by the parents of children with developmental delay. Cerebral palsy that is the most common motor delay, is a nonspecific, descriptive term pertaining to disordered motor function that is evident in early infancy and is characterized by changes in muscle tone, muscle weakness, involuntary movements, ataxia, or a combination of... |
We report a one-day-old Korean boy with 2-Methylbutyryl-CoA dehydrogenase(2-MBCDase) deficiency detected by urine organic acid and acylglycine analysis, plasma acylcarnitine analysis and confirmed by enzyme assay and Western blot. The patient was born at 35 weeks and three days with oligohydroamnios and premature rupture of membrane for 31 hours, as a second child of healthy non-consanguineous parents. There was no... |
Purpose : Recently, a wide application of gastrofiberoscopy in pediatrics has revealed that the incidence of peptic ulcer has increased in the past years, and various results were reported about the relationship between duodenal ulcer and H. pylori. The aim of this retrospective study is to investigate the role of H. pylori in duodenal ulcers in children and to help diagnose and treat duodenal... |
Purpose : Medium chain acyl-CoA dehydrogenase(MCAD) deficiency is an autosomal recessive disoder of β oxidation of fatty acids and characterized by episodic hypoglycemia, vomiting, convulsion, encephalopathy, apnea, and sudden death related to fasting or infection resembling Reye syndrome or sudden infant death syndrome. In acute stage, mortality rate is very high and survivors have significant risk of developmental disability and chronic somatic illness. However,... |
Purpose : The foreing bodies in the upper GI tract are chiefly caused by accidental swallowing and rarely provoke symptoms. It is recommended to remove the foreign bodies if they produce symptoms or remain in GI tract for long duration or complications are expected to bring about. Nowadays the development of pediatric therapeutic endoscopy enables the removal of the foreign bodies in upper GI tract... |
Purpose : Measlesinfection in children hasbeen known to havemany complications including hepatitis. But there has been no appropriate study about measles hepatitis in children. So we studied to facilitate the understanding of measles hepatitis in children by analyzing their clinical features and laboratory findings. Methods : We investigated 164 patients who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital due to measles... |
Purpose : The prospective cotrolled study was performed to identify the effect of the dipheny1-dimethy1-dicarboxylate(PMC) on lowering serum transaminases in children with chronic liver diseases. Methods : The twenty patients were paticipated in this study who were followed up in the Department of Pediatrics of the Seoul Red Cross Hospital because of the elevated levels of serum alaine aminotransferase(ALT) and aspartate... |
Purpose : Recently, a wide application of gastrofiberscopy in the pediatric group have revealed that nodular gastritis is an unique disease in children and associated with Helicobacter pylori. The aim of this prospective study was to investigate the clinical and histologic features in children with nodular gastritis, and to assess corelation between both. Methods : During a period of 44 months(May 1991-December... |
We observed 240 cases ranging in age from 3 months to 15 years seen by gastrofiberoscopy in the department of pediatrics of Seoul Red Cross Hospital from March 1990 to October 1992 and following results were obtained. 1) The male to female ratios in total cases and 89 patients complaining of abdominal pain for more than one month were 0.94:1 and... |
We observed the patients admitted to the department of pediatrics Seoul Red Cross Hospital during the past twenty years from Jan. 1971 to Dec. 1990 The results were as follows: 1) The total number of pediatric inpatients during 20 years was 15,800, of which 9,683 were male, 6,117 were female and male to female ratio was 1.58:1 2) On age distribution, neonates and... |
Gastric teratoma is a benign tumor that occurs rarely, is found most frequently in male infants, and is best treated by excision. A 3-month-old male patient had abdomial mass and dyspnea due to gastinc teratoma. The literature on this subject was reviewed briefly. |
The 4p_ syndrome results from structural deficiency of chromosome 4. We experienced a patient of 4p~ syndrome who all features of already described Wolf syndrome, i.e., prominent glabella, hypertelorism, broad beak nose, cleft lip and palate, kyphoscoliosis, hypospadia, etc.. Postmortem examination revealed multiple visceral anomalies, including large atrial septal defect, diaphragmatic eventration, intestinal malrotation, ankyloglossia, and hemivertebrae. The kidneys showed a marked simple hypoplasia weighing... |
Clinical observation were made on 57 cases of neonatal seizure who were admitted to the Depart- ment of pediatrics, Seoul Red Cross Hospital during the period of 7 years from Jan. 1983 to Dec. 1989. The results were as follows: 1) According to the type of delivery of neonates which showed neonatal seizure, normal vaginal delivery were 41 cases (71.9%), C-section delivary 11 cases (19.3%)... |
The characteristic features of late hemorrhagic disease of infancy are noraml pregnancy and delivery, no vitamin K prophylaxis at birth, often breast feeding, normal development and good health until the acute bleeding with a high incidence of intracranial hemorrhage. We have experienced 2 cases of intracranial hemorrhage, 1 case of bleeding from injection site due to vitamin K deficiency. |
Trichobezoar is one of the rare diseases, which usually occurs in teen.aged girl who has an emotional disturbance and history of trichophagia. We experienced a case of gastric trichobezoar in a 8 year old girl, who had colicky abdominal pain and movable epigastric mass with the history of trichophagia. Diagnosis was suspected by the history of trichophagia and movable epigastric mass and confirmed by... |
Virus associated hemophagocytic syndrome is a rare hemophagocytic disorder, apparently associated with active viral infection, apparently associated with active viral infection, in which reactive histiocytes proliferate in the reticuloendothelial system, mainly bone marrow and medullary portions of lymph nodes, as a non-malignant, reversible but potentially constitutional symptoms with high fever and hepatosplenomegaly and by laboratory findings of pancytopenia, hemophagocytosis, abnormal liver function and coagulopathy. Inappropriate immunosuppressive... |
Congenital hypothyroidism is one of the important causes of retardation of growth and development. A 4 year 2 month old male patient was admitted to our department of Pediatrics, who showed marked growth failure and developmental retardation. Congenital hypothyroidism was suspected by history and physical examination, and confirmed by thyroid function test and thyroid scan, which showed ectopic lingual thyroid. A brief... |
This paper represents the statistical observations concerning the causes of admissions and deaths observed in the Pediatric Department of Seoul Red Cross Hospital, during the past 5 years from Jan. 1, 1976 to Dec. 31, 1980. The results were as follows: 1)The total number of pediatric inpatients during 5 year-period was 3,728, of which 2,278 were male, 1,450 were female and... |