Patients with hemolytic-uremic syndrome (HUS) can rapidly develop profound anemia as the disease progresses, as a consequence of red blood cell (RBC) hemolysis and inadequate erythropoietin synthesis. Therefore, RBC transfusion should be considered in HUS patients with severe anemia to avoid cardiac or pulmonary complications. Most patients who are Jehovah's Witnesses refuse blood transfusion, even in the face of life-threatening... |
Kawasaki disease (KD) is a systemic vasculitis and affects many organ systems. It often presents sterile pyuria, microscopic hematuria, and proteinuria due to renal involvement. The aims of this study were to define clinical characteristics of acute KD patients with pyuria and to analyze meaning of pyuria in KD. The medical records and laboratory findings including serum and urine test of... |
We present a case of tacrolimus-induced encephalopathy after successful kidney transplantation. An 11-year-old girl presented with sudden onset of neurologic symptoms, hypertension, and psychiatric symptoms, with normal kidney function, after kidney transplantation. The symptoms improved after cessation of tacrolimus. Magnetic resonance imaging (MRI) showed acute infarction of the middle cerebral artery (MCA) territory in the right frontal lobe. Three days... |
Purpose : Diabetes mellitus is a major risk factor for the development of cardiovascular disease. Early atherosclerotic changes in the arterial walls begin in adolescence and the risk factors are associated with its development. To assess the usefulness of carotid artery intima-media thickness (IMT), as a marker of early atherosclerosis, we evaluated the structural and functional characteristics of the carotid... |
Purpose : Phimosis is the inability to retract the foreskin of the penis over the glans of the penis. Even though phimosis is not pathogenic, the presence of phimosis is known to increase the risk of urinary tract infection in infancy. The use of topical steroids has been advocated as a safe and economical alternative to surgical intervention. The purpose... |
Purpose : This study was performed to know the mothers' recognition of childhood obesity because the mothers' role is essential for management in childhood. Methods : Seven hundred and seventy two mothers who visited pediatrics clinics in five regional cities(Daegu, Kumi, Waekan, Kyungsan and Youngchun) were include in a questionnaire survey concerning childhood obesity. The questionnaire was anonymous and filled in... |
Purpose : The prevalence of renal anomalies in Turner syndrome(TS) has been reported to vary from 33% to 60%. The purpose of this study was to clarify the true incidence of renal malformations in Korean TS. Methods : We evaluated 33 patients with Turner syndrome diagnosed by karyotype in Inje University Busan Paik hospital and Youngnam University from January 1995.... |
Purpose : Attention Deficit Hyperactivity Disorder(ADHD) is one of the most common childhood psychiatric diseases and nocturnal enuresis is also a common involuntary disorder, whose symptoms can appear more than 2-3 times per month even after the age of 5. The incidence of nocturnal enuresis is believed to be increasing in ADHD patients. This study investigates the effectiveness of desmopressin... |
Purpose : To evaluate the health status of institutionalized handicapped children, a general health assessment was done in an asylum in Taegu in May 1998. Methods : Body measurements, including height, weight, head circumference, skin fold thickness and mid-arm circumference, were done with physical examination on 53 children. Blood tests and chest radiography were done, and fat impedance was measured.... |
Purpose : Leptin is a highly hydrophobic 16-kDa protein encoded by the ob gene which is expre- ssed in adipocytes and participates in the regulation of food intake and energy expenditure. The aims of the present study were to examine the comparison of leptin levels between type I diabetes mellitus(DM) patients who received exogenous insulin therapy and healthy children, and... |
Purpose : Developmental delay in congenital hypothyroidism can be prevented by early detection and treatment. We conducted a follow-up study to assess the growth and development of infants with congenital hypothyroidism who were detected by newborn screening test and received thyroid hormone therapy. Methods : Nineteen hypothyroid infants were detected by newborn screening test from April 1995 to May 1997. Measurements... |
Purpose : This prospective study was conducted to evaulate the effect of nebulized steroid(budesonide) and parenteral steroid(dexamethasone) on chidren with croup. Methods : Twenty nine infants and children(6months-5years of age) admitted to hospital with croup were randomly assigned to receive either 1mg(4ml) of nebulized budesonide(17 patients) or 0.6mg/kg intramuscular injection of dexamethasone sodium phosphate(12 patients). Total croup score, heart rate... |
Rotavirus is an important pathogen of acute infantile gastroenteritis as well as is suspected of being one of the causative agents of benign convulsion. We evaluated the clinical and laboratory features noted in 9 young children with Rotazyme positive gastroenteritis and afebrile seizure retrospectly. Seventy-seven patients were admitted to the department of pediatrics in Yeungnam University Hospital with a history of... |
Chonic headache is one of the most common symptoms in childhood diseases. Headache may occur as a symptom of many clinical disorders, including emotional disorders, head injuries, migraine, intracranial masses, intracranial inflammations or diseases of the eyes? ears, or nose, etc. But it may not always be possible to determine the cause in a given case despite elavorate diagnostic procedure because of non-obvious experession... |
A clinical observation has been made on 111 children with acute glomerulonephritis who were admitted to Pediatric Department of Yeungnam University Hospital during 5 years period from June 1, 1983 to May 31, 1988. The incidence of acute glomerulonephritis among hospitalized patients was 1.59% and the annual incidence was decreased markedly after June 1986. Peak incidence was noticed in the wintertime from November to January... |
A clinical trial for the therapeutic effect of heparin on DIC was conducted on 22 patients of DIC who were admitted to the pediatric department of Yeungnam University Hospital from September 1, 1984 to May 31, 1986. In addition to the conservative treatment, intensive care of underlying disease and specific replacement therapy for DIC, heparin was administered to the one-half of the patients... |
Liver size was measured in 100 healthy newborn infants of gestational ages 38 to 42 weeks who were born at the Yeungnam University Hospital. The liver span was determined by measuring the distance between the percussed upper and palpated lower liver borders along the mid clavicular line (P-P method). The mean liver span was 4.6±0.3 cm. Liver span measured by... |
A case of Incontinentia pigmenti, Bloch-Sulzberger type, is presented with the review of related literatures. One month old female infant was admitted with irregular, grouped vesicobullous lesion on the whole body especially on the trunk and extremities which have been persistent since birth. No familial traits were noted. Diagnosis was made by the characteristic clinical and laboratory and histopathologic:findings |
Korean hemorrhagic fever is acute febrile illness caused by Hantan virus. It involves capillaries and small vessels systemically, and leads to dysfunctions of many organs, esp. kidney. In recent years, we have experienced 4 cases of korean hemorrhagic fever in children’s age group. Diagnosis was confirmed by immunofluorescent technique in one case and renal biopsy was done in 2 cases.... |
A clinical observation was done on 39 children with typhoid and paratyphoid fever, who had been admitted to the Pediatric department of Kyungpook National University Hospital, from January 1981 to December 1982. Diagnosis was established by positive serologic test and/or positive bacteriologic culture. Liver involvement as evidenced by abnormal liver function tests, hepatomegaly and hepatic tenderness was noted in 46.2%(18... |
A clinical study was conducted on 76 children with acute renal failure who had been admitted to the Pediatric Department of Kyungpook National University Hospital during 2.2years period from January 1981 to June 1983, and following results were obtained.Age distribution revealed 19 out of total 76 cases (25%) being infants under 1 year of age and otherwise even distribution was... |
Purpose : This study was conducted to evaluate that long term glucocorticoid treatment in children with the nephrotic syndrome can produce a significant loss of bone mass by measuring of bone mineral density(BMD) Methods : We measured BMD at lumbar vertebra(L2-L4) using dual enegy X-ray absorptiom-etry in 36 patients with the nephrotic syndrome who were administered prednisolone over 6 months and... |