Purpose : For the control of childhood leukemia, of which the mortality is still high, the basic data for the incidence has a great importance. The authors analyzed the data from 133 new patients with childhood leukemia between 1996-2000 in Busan, Korea. Methods : The data were obtained from 133 new cases(87 males and 46 females from 0 to 15 years... |
Purpose : We conducted randomized study to determine whether high doses(6mg/kg/ day) of iron would exert a more supplemental effect than low doses(3mg/kg/day), and which regimen of recombinant human erythropoietin(rHuEPO) and iron would be more beneficial in the prophylactic treatment of anemia of prematurity. Methods : We randomly assigned 38 sick premature infants who were more likely than symptom-free premature infants requiring erythrocyte transfusions for... |
Neurofibromatos is originally described by von-Recklinhausen in 1882, is often depicted as a chronic progressive hereditary disease characterized by pigmentation of the skin, cutaneus lesions, and numerous tumors developing in association with elements of both the central and peripheral nervous tissue. Mesenteric involvements in neurofibromatosis are very rare in childrens. We experienced a case of neurofibromatosis with multiple neurofibromas on mesentery in... |
Purpose : To investigate the diagnostic significance of urinary growth hormone measurement and compare with the urinary GH values in different methods of urine collection, this study was performed in patients with short stature. Methods : Measurement of urinary GH excretion was performed in 9 children with complete growth hormone deficiency (GCD), in 19 children with partial growth hormone deficiency (GPD)... |
Purpose : It is well known that use of intranenous methylprednisolone(IVMP)for the patients with idiopathic thrombocytopenic purpura(ITP) is not only as effective as use of intravenous gammaglobulin to mincrease platelets quickly, but also the former is less expensive than the latter. As the adequate dosage of IVMP has not been fully elucidated, we have tried to determine it. Methods : The... |
By animal experiments in rat, it has been known that Interleukin-6(IL-6) is secreted from renal mesangial cells and is an autocrine growth factor for the proliferation of mesangial cells. According to these facts, several studies have been tried for its clinical usefulness by measuring their serum or urinary IL-6 in glomerulonephritis patients with mesangial proliferation. The authors measured urinary IL-6... |
Clinical analysis of 170 patients with childhood leukemia was made, who were admitted to the department o Pediatrics, Pusan Paik Hospital, Inje University, College of Medicine during 10 years from 1981 to 1990. The results were as follows: 1) The annual number of the patients with childhood leukemia was in the range of 6~25 cases. And the annual rate of the... |
Recurrent epistaxis is not one of rare symptoms in children, the well-known causes of which are anatomical abnormalities of nasal cavity and systemic bleeding tendency. But, in the majority of cases of recurrent epistasix, it is usually very difficult to find out their underlying causes, so that the treatment is only symptomatic control of nasal bleeding whenever epistaxis occurs, but... |
We experienced a case of prune belly syndrome in a 2 days old female with deficient abdominal wall musculature and urinary tract anomalies which composed of bilateral multicystic kidney, left vesicoureteral reflux and megaureter with kinking in appearance and marked distended bladder. On ultrasonographic examination, there were no abnormalities in uterus, vagina and overies. A review of literatures was also presented briefly. |
The major goal in the treatment of acute idiopathic thrombocytopenic purpura (ITP) is to increase the platelet count above the critical level of 20,000/mm3 to avoid intracranial hemorrhage. We have treated eighteen children with acute ITP whose platelet count were below 20,000/mm3 at initial diagnosis. Thirteen of 18 patients (group A) received IV methylprednisolone (IVMP) 10〜20 mg/kg/day for 5 days from the day of... |
Weber-Christian disease is a relapsing febrile nodular nonsuppurative inflammation of the subcuta- neous fat tissue. We experianced a case of Weber-Christian disease. The patient was a 10-year-old girl with the complaints of fever, malaise and erythematous painful nodules on extremities, trunk and back. The diagnosis was based on the clinical pictures and the histologic findings. Oral prednisolone therapy was tried and the response occurred... |
We experienced a case of histiocytic necrotizing lymphadenitis in a 10-year old male child with complaints of high fever and painful swelling on right cervical area for 11 days. The diagnosis was based on histopathologic findings of right cervical lymph node, clinical features and laboratory findings. A review of literatures was also presented briefly. |
We experienced a case of aplastic anemia following hepatitis in a 4-year-old girl. Pancytopenia was developed during the convalescent period of hepatitis, and it was getting worse, while serial data of liver function test showed improvement. We tried a methylprednisolone pulse therapy, and about 7 months after treatment the CBC findings returned completely normal. She has enjoyed her healthy life during follow-up of over 2... |
Thirty patients with aplastic anemia(fifteen severe aplastic anemia and fifteen moderate aplastic anemia) treated with antilymphocyte globulin and cyclosporin A as a kind of immunomodulation therapy were studied by analysing hematologic reseponses and complications. The results were as follows; 1) Nineteen out of thirty patients (63.3%) treated with anti lymphocyte globulin plus cyclosporin A showed responses (complete response of 33.3%, partial response of 30.0%). 2) Hematologic responses according... |
In the pediatric age, hepatitis has rarely been recognized as a complication of measles infection. We have experienced a case of hepatitis in a 6-year-old boy with prominent clinical features of measles. A brief review of literatures was made. |
We have experienced a case of myelodysplastic syndrome (RAEB) in an 11-year-old boy with the complaints of pallor and petechiae for 1 month. After diagnosis, improvement was remarkable with chemotherapy of low dose cytosine arabinoside but the RAEB was transformed to acute myeloblastic leukemia 4 months after treatmemt. Anti-leukemic therapy was tried but induction of remission was failed and he was died of sepsis... |
We have experienced a case of Wilson disease manifesting chronic hepatitis. The patient, 10-year-old boy, has shown elevated SGOT and SGPT levels since 5 years ago, but no other specific symptoms of Wilson disease. His younger sister died of fulminant hepatitis (absence of hepatitis A or B markers) at the age of eight. The diagnosis was based on the characteristic laboratory data and the... |
An analysis of incidence requiring resuscitation in relation to the indication of cesarean section in full-term deliveries were carried out retrospectively during 24 months from January 1984 to December 1985. The results obtained were as follows. 1) The overall incidence of cesarean delivery was 17.2% (397 cases out of 2,308 total deliveries) and the rate of full-term was 77.6% of total cesarean deliveries. 2) Among full-term cesarean delivered... |
Recently, we experienced a case of congenital anterior urethral diverticulum in 8-month-old male infant. He had recurrent fever and urinary dribbling for 3 months. The diagnosis was based on radiologic and cystoscopic findings, and anterior urethral diverticulectomy was performed. A review of literatures was also presented briefly. |
We observed 3 cases of congenital hypothyroidism. A 43-day-old girl, a 372-month-old boy and a 5-year-old girl were presented. The causes were thyroid agenesis of case I, defective TSH receptor (suspect) of case II and undetermined in case III respectively. The diagnosis was made by clinical manifestations, thyroid function test, A brief review of literatures was made. |
A case of infectious mononucleosis in a 22-month-old male was reported. The diagnosis was made chiefly on the clinical findings and the typical findings of peripheral blood smear. A review of literatures was presented briefly. |
We reported three cases of Diabetes Insipidus which were characterized by polyuria and polydipsia. One case was idiopathic and two cases were associated with tuberculous meningitis and pinealoma respectively. Water restriction test and hypertonic saline infusion test revealed little change in urine volume and specific gravity but good response to intramuscular injection of pitressin in all of the three cases.... |
Sacral agenesis is a rare congenital anomaly of the lower vertebral column which usually produces lower urinary tract dysfunction. The authors have reported a case of sacral agenesis which was found in a l-year-4-month old girl, who was born of a diabetic mother and had been suffered from recurrent urinary tract infection. A brief review of literatures was made. |
We experienced a case of combined esophageal atresia without tracheoesophageal fistula and duodenal atresia. Choanal Atresia was also associated. The diagnosis was confirmed by prenatal ultrasonography, abdominal radiography and autopsy. A review of literatures was also presented briefly. |
We presented a case of endodermal sinus tumor of the vagina in a 17 month-old female baby with the complaints of vaginal blee4ing and difficulty of urinations. Diagnosis was confirmed by the biopsy findings of the tumor tissue from the vagina and the elevated serum alpha-fetoprotein. A review of related literatures was made. |
We experienced a case of congenital monocytic leukemia in a 25 day old female newborn infant. She was admitted because of petechiae, abdominal distension and skin nodules scattered on. whole body. Diagnosis was confirmed with findings of CBC, bone marrow aspiration and cytochemistry. A review of literatures was also presented. |
We experienced a case of neurofibromatosis associated with pseudoarthrosis of the ulna in a 5-year-old boy. He had multiple cafe-au-lait spots, neurofibromas, and macrocranium with positive family history. A review of literatures was also presented briefly. |
We experienced a case of hepatic hemangioendothelioma in a 21-day-old girl who had a large mass in the left upper quadrant of abdomen. The diagnosis was confirmed by laparatomy and histological finding. A review of the related literatures was also made. |
We present a case of patent urachus in a newborn male baby with the symptom of a leakage of urine from the umbilicus. Diagnosis was made radiologically and it was surgically removed successfully. A brief review of related literatures is also presented. |
We observed a case of hereditary spherocytosis who was a 4-month-old boy with the chief complaints of jaundice and pallor. Evidence of the same disease was also found in the patient` s father who had never been symptomatic. Diagnosis was made by presence of spherocytes in peripheral blood smear, osmotic fragility- test and autohemolysis test. A brief review of literatures was made. |
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