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Volume 33(5); May 1990
Original Articles
Treatment of Self-Injurious Behavior Through Behavior Therapy.
Bo In Chung, Jong Soo Kim, Jae Seung Yang, Bong Sun Kang
J Korean Pediatr Soc. 1990;33(5):585-597.   Published online May 31, 1990
Three-step guided compliance training and movement suppression time-out technique were used to treat desruptive, self-injurious, and aggressive behaviors in an 8-years old tuberous sclerosis with severe mental retardation. In compliance training, the child’s compliance behavior to verval and/or gestural demand was reinforced with edible and/or social reinforcers and the noncomplied demand was forcefully carried out through physical prompting. Movement suppression time-out was enforced whenever any...
The Change of Anti-HBs Titer after Hepatitis B Vaccination in Newborn.
Ji Hye Kang, Young Mi Hong, Seung Joo Lee
J Korean Pediatr Soc. 1990;33(5):598-605.   Published online May 31, 1990
Hepatitis B vaccination is an accepted preventive measure for all newborn as well as the risk group. However, there is some uncertainty about the persistence of anti-HBs and the timing of booster vaccination. We studied anti-HBs titer, positive rate and minimum protective rate in relation to time interval after the third vaccination in 102 infants bom to HBsAg negative mother (Group I) and 52...
Preventive Effect of Single Dose Vitamin K for the Late Hemorrhagic Disease of Infancy.
Young Youn Choi, Hwa Il Kwag, Byung Hee Kim, Tai Ju Hwang
J Korean Pediatr Soc. 1990;33(5):606-614.   Published online May 31, 1990
To evaluate the preventive effect of single dose vitamin K for the late hemorrhagic disease of infancy, hepaplastin test was carried out in 15 breast-fed and 12 formula-fed babies. Vitamin Ki lmg was injected immediately after the birth intramuscularly and the test was performed the 1st (before vitamin k administration), 3rd, 7th, 28th days of life and the end of the 2nd and...
Clinical Observation of Encephalitis Empasizing the Clinically Suspected Herpes Encephalitis Cases.
Young Sook Lee, Young Don Lee, Yong Seung Hwang
J Korean Pediatr Soc. 1990;33(5):615-622.   Published online May 31, 1990
The prognosis in all encephalitis is guarded with respect to both immediate outcome and sequelae. But, in fact, there is no specific treatment agent for encephatitis except herpes encephalitis which is almost fatal without adequate treatment. Acyclovir(9- [2-hydroxyethoxymetry] -guanine) has proved to be a safe and effective agent for therapy of early stage of herpes simplex virus infections. So, in herpes encephalitis, early diagnosis...
A Study on the Growth Pattern, History of Respiratory Illness and Family History in Acute Bronchiolitis.
Dong Won Choi, Byung Ju Jung, Kyu Earn Kim, Ki Young Lee
J Korean Pediatr Soc. 1990;33(5):623-631.   Published online May 31, 1990
The authors evaluated the growth pattern, history of frequent respiratory illness and family history in 111 infants who were admitted to the Department of Pediatrics, Yonsei University Hospital with the diagnosis of acute bronchiolitis from Sept. 1986 to Jun. 1988. The results of the study were as follows: 1) The sex incidence of bronchiolitis was higher in males compared with the sex incidence of the total...
Clinical and Epidemiologic Studies on Childhood Asthma.
Youn Mo Ahn, Sun Ho Lee, Ha Baik Lee, Hahng Lee
J Korean Pediatr Soc. 1990;33(5):632-641.   Published online May 31, 1990
The one-hundred-twenty-seven asthmatic children who were diagnosed and treated either through admission or through clinic visits at the Department of Pediatrics, Hanyang University Hospital from July 1987 to March 1989, were investigated for clinical patterns and epidemiologic correlations. The diagnosis of asthma was made by typical clinical history, physical findings and laboratory examina- tion. The results were as follows: 1) Sixty-three percent of the total population at...
A Clinical Study on Hematological Findings in Children with Cyanotic Congenital Heart Disease.
Seong Ho Kim, Heung Jae Lee, Hahng Lee
J Korean Pediatr Soc. 1990;33(5):642-650.   Published online May 31, 1990
Children with cyanotic congenital heart disease (CCHD) and secondary polycythemia exhibit increased susceptibility to hemorrhage or thrombosis. The hemostatic disorder manifests itself by the occurrence of excessive hemorrhage after surgery, and by increased incidence of cerebrovascular accident of a thrombotic nature during life. To assess whether the severity of polycythemia in children with CCHD is correlated with coagula- tion abnormalities, hematologic studies with preoperative and...
Clinical Consideration of Coarctation of the Aorta.
Jong Woon Choi, Kyung Hee Park, Jung Yun Choi, Yong Soo Yoon
J Korean Pediatr Soc. 1990;33(5):651-657.   Published online May 31, 1990
A retrospective analysis of clinical findings in 98 patients with coarctation of the aorta who visited Department of Pediatrics of Seoul National University Hospital from 1980 till 1988 was performed. 1) The most common age group was under 1 year of age (58 case; 59.2%), and male-to-female ratio was 1.58:1. 2) The common symptoms and signs were dyspnea/ tachypnea, hepatomegaly and chest wall retraction. Congestive heart failure...
A Clinical Study on Reye's Syndrome.
Myeong Hee Cha, Seong Hee Shin
J Korean Pediatr Soc. 1990;33(5):658-665.   Published online May 31, 1990
The auther analyzed the clinical features and prognosis of the 143 patients with Reye*s syndrome who were admitted at three hospital for 10 years from Jan. 1979 to Dec. 1988. The results were summarized as follows: 1) There was non significant difference in annual and seasonal incidence except slight higher incidence in 1981. 2) The male to female ratio was 1.4:1. The age distribution was from 3...
Four Cases of Attempted Suicide in Childhood.
Young Don Lee, Hyung Ro Moon
J Korean Pediatr Soc. 1990;33(5):666-670.   Published online May 31, 1990
Suicides and attempted suicides in childhood are not as rare as in commonly believed by foreign literatures. However a few cases of suicide in childhood were reported in Korea until the present or up to the present. A suicide attempt is usually interpreted as a cry for help and an indication of an individuafs frustration, distress and feelings of inadequacy to cope in some...
Conjoined Thoracopagus Twins.
Min Young Lee, Young Yoo, Ji Tae Choung, Joo Won Lee, Young Chang Tockgo, Yang Seouk Chae
J Korean Pediatr Soc. 1990;33(5):671-674.   Published online May 31, 1990
Conjoined twins are very rare congenital malformation in which twins have varying degree of anatomical union. The conjoined twins seems preferable to such as craniopagus, thoracopagus, ischiopagus and pyopagus. Because of their associated anomalies, particularly of cardiovascular system, and difficulties in delivery, they usually survive only short postnatal period. Successful surgical separation and long term survival would have been achieved in a small numbers...
A Case of Wilson-Mikity Syndrome.
Jung Suk Lee, Young Kyun Lee, Hyang Suk Yoon, Yeon Kyun Oh
J Korean Pediatr Soc. 1990;33(5):675-679.   Published online May 31, 1990
Wilson-Mikity syndrome is a chronic lung disease in the premature infant characterized by respira- tory symptoms and became increasingly severe, and was associated with distinctive chest radiologic changes. We experienced a case of Wilson-Mikity syndrome in a premature infant. A brief review of related literature was made.
Congenital Pericardial Defect, A Report of Two Cases.
Young Sook Lee, Chang Youn Lee, Young Hwue Kim, Jung Yun Choi
J Korean Pediatr Soc. 1990;33(5):680-683.   Published online May 31, 1990
This report describes two confirmed cases of partial pericardial defect which presented in complete- ly different way. The first case was referred with the chief complaint of chest pain. This case showed typical chest X-Ray and echocardiographic findings. In view of frequent chest pain, this case was operated on and the defect was closed with patch. In the second case, defect was incidentally found...
A Case of Pancreatoblastoma with Metastasis of the Liver.
Dae Sung Oh, Yong Won Paik, Jae Sun Park, Kyung Hyun Choi, Man Ha Huh
J Korean Pediatr Soc. 1990;33(5):684-689.   Published online May 31, 1990
We experenced a case of pancreatoblastoma in a 6 years old Korean male who was admmited to the pediatric department because of an abdominal mass and pathologically diagnosed following surgical removal. Microscopically, the resected mass was composed of small sized tumor cells arranged in glandular or acini structure with multifoci of squamoid corpuscle. Extensive hemorrhagic necrosis was another feature. Ultrastructucturally, two types of cells, dark...
A Case of Acute Renal Failure Associated with Rhabdomyolysis in Carbon Monoxide Intoxication.
Kyung Hee Park, Sei Hee Hwang, Hae Il Cheong, Yong Choi, Kwang Wook Ko
J Korean Pediatr Soc. 1990;33(5):690-694.   Published online May 31, 1990
We experienced a case of acute renal failure associated with rhabdomyolysis after Carbon Monoxide intoxication in a 12 year old Korean girl who had marked soft tissue swelling of the left thigh, reddish brown colored urine and oliguria. Diagnosis was made by clinical features, markedly elevated serum muscle enzymes and serum myoglobin, and Tc 99m-MDP bone scan which revealed increased radioactivity at the left...
A Case of Neuroepithelial(Colloid) Cyst.
Min Sik Kim, Yo Han Kim, Mu Young Song, Soon Jai Lee, Young Bae Lee, Je Geun Chi
J Korean Pediatr Soc. 1990;33(5):695-700.   Published online May 31, 1990
The authors experienced a case of neuroepithelial cyst which was found deep inside the brain, involving the ventricular septum. A 2 months old female patient was presented with convulsion. Characteristic CT findings showing multiloculated cystic structures were seen. Operation was carried out to confirm multiple intraventricular cysts containing yellowish fluid. Histologically the cyst wall consisted of simple cuboidal epithelium and fibrous connective tissue. A brief...
An Experience of High Dose Intravenous Immunoglobulin Therapy in Refractory Evans Syndrome.
Hee Sup Kim, Won Sup Shin, Sang Il Lee, Sang Woo Kim
J Korean Pediatr Soc. 1990;33(5):701-707.   Published online May 31, 1990
Evans syndrome, a combination of autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura, relapses freguently and is refractory to conventional treatment such as corticosteroid, immunosuppressive agents, splenectomy and plasma exchange. Recently Oda et al applied high dose immunoglobulin (400/kg/day for 4 days repeated 2 weeks later) to 5 month-old infant with refractory Evans syndrome, and was successful in maintaining remission for five years and nine...
A Case of Congenital Hypothyroidism.
Woo Hyon Kwon, Soon Young Song, Chang Ho Han, Hyae Ri Chung, Soo Yong Kim, Young Dae Kwon
J Korean Pediatr Soc. 1990;33(5):708-713.   Published online May 31, 1990
Recently, we experienced a case of congenital hypothyroidism in 3month-old girl, who came with chief complaints of prolonged jaundice for 2 months after birth. After admission, she was diagnosed congenital hypothyroidism by the laboratory tests, including biochemistry, radioimmunoassay, radioisotope study, and bony radiography, and since then treated with sodium-L-thyroxine orally. The case was presented with brief review of literatures.
Case Report
A Case of Subacute Necrotizing Lymphadenitis.
S Y Song, W H Kwon, C H Han, H R Chung, S Y Kim, Y D Kwon
J Korean Pediatr Soc. 1990;33(5):714-720.   Published online May 31, 1990
We experienced a case of subacute necrotizing lymphadenitis in a 6 year old boy which has been originally described in Japan. The diagnosis was made by clinical features(fever, adenopathy), laboratory(WBC, ESR, GOT, GPT, LDH etc), histopathologic, electron microscopic, and immunohistologic findings. The review of literature was made.
Original Articles
A Case of Epidermolytic Hyperkeratosis.
M J Na, E W Park, W H Choi, K W Kim, D W Kim
J Korean Pediatr Soc. 1990;33(5):721-726.   Published online May 31, 1990
Epidermolytic hyperkeratosis is a type of ichthyosis. We present a case of epidermolytic hyperker- atosis in 7 months old male infant who developed generalized erythematous hyperkeratosis & vesicles at birth. Later, the skin lesions progressed to characteristic thick, grayish dark brown scales affecting flexural & intertriginous areas. Histological examination revealed hyperkeratosis, vacuolation of Malpighian cells & markedly thickening of granular layer containing many keratohyaline granules.
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (49).
Gook Jin Moon
J Korean Pediatr Soc. 1990;33(5):727-728.   Published online May 31, 1990
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (49).
Chong Kil Lee
J Korean Pediatr Soc. 1990;33(5):729-729.   Published online May 31, 1990