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Volume 36(6); Jun 1993
Medical Lecture Course
CD4+T Cells
Kyuchan Kim
J Korean Pediatr Soc. 1993;36(6):757-770.   Published online June 15, 1993
Original Articles
A Clinical Study of Neonatal Sepsis
Hyoung Shim Chang, Jung Sook Park, Young Ho Lee, Ahn Hong Choi
J Korean Pediatr Soc. 1993;36(6):771-777.   Published online June 15, 1993
The 35 newborns with neonatal sepsis admitted to the Neonatal Intensive Care Unit of Dong-A Univesity Hospital during 2 years and 6months from April 1990 to October 1992, and were reivewed on the bases of incidence, clinical manifestations, underlying conditions, etiologic organisms, results of antibiotics sensitivity test and mortality rate. The result were summarized as follows; 1) The incidence of neonatal sepsis...
Clinical Observation on Prematurity Subjected for EEG
Chul Soon Park, Soon Wha Kim, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1993;36(6):778-784.   Published online June 15, 1993
This study included fifty two premature babies in whom EEG was performed at National Medical Center, from Jan. 1990 to Jun. 1991. Clinical and EEG recirdes of akll subjects were analyzed and the following results were obtained . 1) The day of first EEG performed were; 11 cases within 10 days, 20 cases from 11 days to 20days, 13 cases from21...
Clinical Assessment of Neonatal Transient Tricuspid Insuffieciency - Doppler Echocardiographic Study-
Se Geun Park, Dong Gun Park, Ji Hee Park, Chang Sung Son, Joo Won Lee, Young Chang Tockgo
J Korean Pediatr Soc. 1993;36(6):785-790.   Published online June 15, 1993
Eight neonates with transient tricuspid insufficiency are presented which was confirmed clinical and two dimensional echocardiographic assessment. We found that two dimensional Doppler echocardiography was very useful in the detection of transient tricuspid insufficiency during neonatal age as noninvasive method. Transient tricuspid insufficiency is a clinical disorder in the newborn period caused by myocardial dysfunction, secondary to asphyxia with or without...
Outcome in Infants of Mothers with Systemic Lupus Erythematosus
Chang Ryul Kim, Young Pyo Chang, Hee Seop Kim, Mi Jung Kim, Byung Il Kim, Jung-Hwan Choi, Chong Ku Yun, Bo Hyun Yoon, Hee Chul Syn, Syng Wook Kim, Seon Yang Park, Hahng Lee
J Korean Pediatr Soc. 1993;36(6):791-804.   Published online June 15, 1993
A large proportion of patients with systemic lupus erythematosus(SLE) are women of reproductive age. Their fetal outcome is undoubtedly less favourable than in haelthy women. Although there is no evidence of an increase in congenital anomalies, increased frequencies of miscarriage, stillbirth, growth retardation, and preterm delivery are recognized It mainly depends on the compromise of uteroplacental circulation such as renal...
Clinical Observation of Aseptic Meningitis Associated with Mucocutaneous Lymph Node Syndrome
Jae Hee Han, Seon Jin Ji, Mee Kyung Namgoong, Hae Yong Lee, Jae Seung Yang, Baek Keun Lim
J Korean Pediatr Soc. 1993;36(6):805-809.   Published online June 15, 1993
Clinical observation was carried out for 147 patients with mucocutaneous lymph node syndrome(MCLS) who were admitted to the Department of Pediatrics, Wonju Cristian Hospital during the period from June, 1983 to June, 1992. A spinal tap was performed on 114 of these patients and the following results were obtained. 1) The incidence of aspetic meningitis in patients with MCLS was 52.6%.(60...
Serum Eosinophil Cationic Protien(ECP) in Children with Atopic Astham
Dae Cheol Kim, Ha Baik Lee
J Korean Pediatr Soc. 1993;36(6):810-819.   Published online June 15, 1993
Eosinophils play a major role in the airway inflammation in asthma. To werify an association between airway responsiveness of asthmatics and eosinophil and/or ECP, we measured serum ECP in 23 children with atopic asthma during acute attacks and stable, and in 10 normal healthy controls. Peak flows were monitored in 15 children. The data suggest that serum ECP levels were higher...
Effect of Different Levels of the Dietary Protein on Long Term Prognosis of Experimental Renal Damage
Choon Haeng Lee, Sang Joo Han, Hong Jin Lee, Won Il Park, Kyung Ja Lee, Young Eui Park, Min Chul Lee, Tae Heon Yoon
J Korean Pediatr Soc. 1993;36(6):820-829.   Published online June 15, 1993
We examined the effect of various levels of dietary protein on long term prognosis of Adriamycinephropathy of S-D rat, fed with high protein(30%), intermediately low(10%), and strictly low(5%) protein diet for 15 weeks 1) In rats fed with strictly low protein diets(5%), proteinuria and serum creatinine decreased and creatinine clearance and histological changes were relatively well preserved. But hypoproteinmia and weight...
Serum Alkaline Phosphatase Activity after Intravenous Administration of Albumin Preparation
June Huh, Kang Mo Ahn, Ja Wook Koo, Il Soo Ha, Hae Il Cheong, Yong Choi
J Korean Pediatr Soc. 1993;36(6):830-836.   Published online June 15, 1993
Serum alkaline phosphatase(AP) activity is elevated in hepatobiliary disease, bone disease, pregnancy and certain neoplasms. Recently we experienced marked elevation of serum AP activity after administration of ablumin preparation in nephrotic patients who suffered from hypovolemic symptoms. So serum AP activity and the isoenzymes in the albumin preparations & patient뭩 serum after the administration of albumin preparation were studied. Serum...
The Gastrofiberscopic Findings in Pediatric Patients
Yong Min Chung, Hwa Ja Kim, Hann Tchah, Sang Kyu Park, Ho Jin Park
J Korean Pediatr Soc. 1993;36(6):837-841.   Published online June 15, 1993
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...
Hand, Foot and Mouth Disease Associated with the Aseptic Meningitis in Seoul, 1990
Young Ah Lee, Sei Ho Oh, Soo Jong Hong, Young Hwue Kim, Hyung Nam Moon, Chang Yee Hong
J Korean Pediatr Soc. 1993;36(6):842-849.   Published online June 15, 1993
We performed clinical and virological studies on 79 children with hand, foot and mouth disease(HFMD) who had been admitted or visited to the department of Pediatrics, Asan Medical Center from February to August, 1990. The results were as follows; 1) There were total of 79 cases with hand, foot and mouth disease during this period. The aseptic meningitis was combined in 18cases(22.8%) 2)...
A Clinical Study on Febrile Convulsion
Jung Hwan Lee, Ki Hwan Yoo, Yong Sook Hong, Joo Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 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 Reports
A Case of Colodion Bady
Dong Il Park, To Hyi Choi, Jin Bok Hwang, Chang Ho Han, Hye Li Chung, Young Dae Kwon
J Korean Pediatr Soc. 1993;36(6):858-864.   Published online June 15, 1993
This is a rare typical case of collodion baby: The patient is a one-day-old newborn male who has been suffering from the tightly collodion or parchment-like coverings over the entire skin surface with ectropion, eclabion, fixed semiflexion position of the limbs and fissures on the flexual area. The family history was noncotributory with no consanguinity. This patient was desquamted from...
Two Case of Dyke-Davidoff-Masson Syndrome
Dong Gun Park, Ji Hee Park, Kee Hwan Yoo, Ji Tae Choung, Chang Sung Son, Young Chang Tockgo
J Korean Pediatr Soc. 1993;36(6):865-869.   Published online June 15, 1993
Dyke-Davidoff Masson syndrome is a rare disorder which developed hemiatrophy of brain, enlargement of ventricles and prominet pneumatrization of pertous pyramid of the temporal bone. It manifests hemiparesis, varying type seizure, and mental retardation. We experienced two cases of Dyke-Davidoff-Masson Syndrome, in a 6/12 year-old boy and a 1,10/12 year-old girl who were admitted to our department of pediatrics, because of...
Pancreatic Islet-cell Adenoma
Ji Hong Kim, Ho Seong Kim, Duk Hi Kim, Hyun Yee Im, Chan Il Park
J Korean Pediatr Soc. 1993;36(6):870-876.   Published online June 15, 1993
Pancreatic islet cell adenoma is a benign tumor of pancreatic β-cell and a rare cause of hyperinsulinemic hypoglycemia in chidren. The autors experienced a case of pancreatic islet cell adenoma(Insulinoam) in a 11 year and 8 month old male who had frequent loss of consciousness and seizuere. Enucleation was done after localiztion of tumor by selective celiac artery angiography and abdominal...
A Case of Unialteral Megalencephaly
Woo Seok Kim, Nam Soo Park, Moo Young Song, Un Jun Hyoung, Jin Oh Lee, Yong Seung Hwang
J Korean Pediatr Soc. 1993;36(6):877-881.   Published online June 15, 1993
The unilateral megalencephaly is a rare brain malfromation characterized by cerebral asymmetry and cortical dysplasia caused by faulty migration of the subependymal neuroblasts. We experienced a case of unilateral megalencephaly in a two day-old male with the chief complaint of asymmetric head appearance. Large left hemisphere with agyria, pachygyria. dilatation of lateral ventricle, and the thick cortex of the ipsilteral hemisphere...
Two Cases of Pseudolhypoparathyroidism in Sibling
Sun Whan Kwon, Hye Jin Lee, Seon Young Choi, Un Ki Yoon
J Korean Pediatr Soc. 1993;36(6):882-887.   Published online June 15, 1993
Pseudohypoparathyroidism is a medical disorder characterized by a complex disorder of renal resistance to parathyroid hormone and the mechanism underlying the disease is still unclear. The autors described two cases of Pseudohypoparathyroidism in sibling, who had metabolic anomalies(hypocalcemia and hyperphosphatemia, high circulating immunoreactive PTH) and basal ganglia calcification. Bilateral basa ganglia calcifications, which was not visible on plain skull fim, was...
An autopsy Case of Nonbacterial Thrombotic Endocarditis
Sun Hee Huh, Hae Yong Lee, Won Kyu Choi, Mee Kyung Namgoong, Jong Soo Kim, Mee Yon Cho
J Korean Pediatr Soc. 1993;36(6):888-893.   Published online June 15, 1993
We experienced a case of nonbacterial thrombotic endocarditis in a 25-day-old male neonate, who was suffered from ASD, MR and congestive heart failure. He was died suddenly during recovery phase. The Post diagnosis was nonbacterial thrombotic endocarditis. We report with a brief review and its related literatures.
Clinical Lecture
Cervical lymphadenopathy
J Korean Pediatr Soc. 1993;36(6):894-896.   Published online June 15, 1993