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Volume 31(7); Jul 1988
Original Articles
Percutaneous Balloon Angioplasty in Patients with Congenital Aortic Valvular Stenosis.
Yong Soo Yun, Chang Yee Hong
J Korean Pediatr Soc. 1988;31(7):817-821.   Published online July 31, 1988
Aortic valve stenosis was relieved by balloon dilatation during cardiac catheterization on 9 children aged 1 month to 15 years. Aortic valve diameter was estimated by two dimensional echocardiography to assist in the choice of balloon size. Before dilatation the transaortic systolic pressure gradients ranged from 60 mmHg to 177 mmHg, (mean: 91 ±38 mmHg). There were signifeant reduction in the transaortic systolic pressure...
Percutaneous Transluminal Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis.
Heung Jae Lee, Jae Kon Ko, Woong Heum Kim, Nam Su Kim, Chang yee Hong
J Korean Pediatr Soc. 1988;31(7):822-832.   Published online July 31, 1988
During the period of 2 years, between January 1986 and December 1987, 36 patients, aged 2 years to 18 years, with congenital pulmonary valve stenosis(PVS) (with peak systolic transvalvar gradient over 30 mmHg) underwent percutaneous transluminal balloon valvuloplasty(TBV) at Sejong General Hospital m Korea. Of a group of 36 patients, 26 were treated successfully by the conventional balloon valve dilatation technique, and 6 were treated...
Study on Diagnostic Methods for Spleen in Complex Heart Disease.
Jung Yun Choi, Yong Soo Yun, Chung Il Noh, Chang Yee Hong, Kyung Mo Yeon, In One Kim
J Korean Pediatr Soc. 1988;31(7):833-840.   Published online July 31, 1988
Thirty one cases of congenital heart disease with suspicious splenic anomaly were prospectively studied at Seoul National University Children’s Hopsital from October, 1986 to February, 1988 in order to determine the sensitivity and the specificity of various non-invasive diagnostic methods for splenic status. In most cases, splenic status was confirmed by abdominal aortography. Each case had chest X-ray, abdominal X-ray, bronchus tomography, electrocardiogram, echocardiography,...
A Clinical Observation on the Incidence of Childhood Leukemia.
Hyo Seop Ahn, Il Soo Ha, Soon Ki Kim, Hoan Jong Lee, Chang Yee Hong
J Korean Pediatr Soc. 1988;31(7):841-849.   Published online July 31, 1988
We have analysed the type, age, sex, initial hematologic values and cell markers in 295 children, who had been diagnosed as leukemia at the department of pediatrics, Seoul National University Hospital, from Jan. 1983 to Dec. 1987. The patients were composed of 197 cases (66.8%) of ALL, 82 cases (27.7%) of ANLL and 16 cases (5.5%) of CML. FAB subclassification have been done in...
Treatment of Acute Myelogenous Leukemia in Children: Remission Induction with Adriamycin and Cytosine Arabinoside, and Postremission Maintenance Chemotherapy with Adriamycin, Cytosine Arabinoside and 6-thioguanine.
Soon Ki Kim, Hyo Seop Ahn, Chang Yee Hong
J Korean Pediatr Soc. 1988;31(7):850-862.   Published online July 31, 1988
The authers assessed the effectiveness of chemotherapy in 40 children with AML, experienced at Seoul National University Children’s Hospital during 8 years 5 months from April 1979 to August 1987. Remission induction treatment included adriamycin 30 mg/m2/day IV on days 1-3 and cytosine arabinoside 75 mg/m2/day continuous IV infusion on days 1-5. This regimen was repeated, if necessary, for one or two more courses. After...
Present status and Problems of weaning.
Young Le Yoon, Moon Hae Bang, Hong Kee Bang, Gang Il Lee, Hak Joo Cha, Jae Ock Park, Sang Jhoo Lee
J Korean Pediatr Soc. 1988;31(7):863-872.   Published online July 31, 1988
This study was conducted to find out the present status and problems of weaning in the provinces of Korea with the 578 outpatients who visited Chun-An, Ku-Mi and Eum-Sung Soon Chun Hyang University Hospital from November 1986 to June 1987. The results and problems obtained from the study are summerized as follows 1) Among 578 parents of this study, 173 were from country and 405...
7 Cases of Group B Streptococcal Meningitis and Sepsis.
Young Wan Kim, Ran Namgung, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1988;31(7):873-880.   Published online July 31, 1988
We report 7 cases of Group B streptococcal meningitis and sepsis. Six of the patients were admitted to the Department of Pediatrics, Severance Hospital and Youngdong Severance Hospital in 1986 and one was admitted in 1979. The age of onset ranged from 10 to 34 days of age and all were cases of late onset. The Clinical findings were fever, seizure, poor feeding,...
Noninvasive Estimation of Systemic and Pulmonary Blood flow and the Ratio of Pulmonary to Systemic flow by Two-Dimensional Doppler Echocardigraphy.
Woo Tack Kim, Ki Ho Kim, Haeng Mi Kim, Snag Bum Lee
J Korean Pediatr Soc. 1988;31(7):881-891.   Published online July 31, 1988
This study was designed to assess the accuracy and problems of noninvasively measuring right and left cardiac output at various sampling sites by range gated pursed Doppler echocardiography. High correlations were found between Fick-and Doppler-derived measurements of systemic and pulmonary flow as well as the pulmonary to systemic flow ratio in 21 patients undergoing cardiac catheterization (systemic flow [n=21] r=0.81; plulmonary flow [n=29], r=0.78;Qp/Qs...
Clinical Review of Tuberculous Meningitis in Children.
Hyung Kook Kim, Mi Aie Han, Jong Wan Kim, Chang Kyu Oh, Mahn Kyoo Yang
J Korean Pediatr Soc. 1988;31(7):892-900.   Published online July 31, 1988
147 Cases of tuberculous meningitis who were admitted to the pediatric department of St. PauFs Hospital, Catholic University Medical College from Jan. 1972 to Dec. 1985 were reviewed clinically. The results were as follows 1) The sex ratio, male to female was 1.2:1 2) The age incidence was highest under the age of 1 and 84.4% of the petients were under the age of 6 years. 3) The seasonal...
Neurologic Outcome in Congenital Hypothyroidism.
Byeung Ju Jeoung, Duk Hi Kim, Chang Jun Coe, Hang Cho Kang
J Korean Pediatr Soc. 1988;31(7):901-913.   Published online July 31, 1988
Congenital hypothyroidism is one of the most common endocrine disease in childhood and is a major cause of mental retardation. It is clear that the earlier treatment is started, the better intellec- tual potential and the likely absence of neurological sequellae. The present study was carried out to try to define the incidence and the nature of the neurologic disorders and to examine the...
The Effect of Pertussive Vaccine & Cyclosporin on Streptozotocin Induced Diabetic Rats.
Duk Hi Kim
J Korean Pediatr Soc. 1988;31(7):914-923.   Published online July 31, 1988
The injection of streptozotocin (STZ) at higher dose (60 mg/kg) to young male rats produce direct beta cell destruction and lead to insulin dependent diabetes (IDD). In contrast, the injection of multiple smaller dose of STZ (40 mg/kg/d for 5 days) produce IDD, which resembles type 1 diabetes in man. The protective effect of pertussis vaccine (PV) & cyclosporin (CA) against the develoment...
A Case of Mediastinal Gastroenteric Cyst.
Hong Ryang kil, Hye Suk Hong, Yang Won Lee, Jong Jin Seo, Young hun Chung, Seung Pyung Lim
J Korean Pediatr Soc. 1988;31(7):924-929.   Published online July 31, 1988
Among heterogenous group of developmental anomalies known as enteric duplication, mediastinal gastroenteric cysts are rare and of outstanding diagnostic importance, because without definitive treatment they can be fatal. Unlike other mediastinal cysts they are almost never asymtomatic. The authors experienced a case of mediastinal gastroenteric cyst in 1 year 7 month-old female patient with chief complaint of abnormal mass density in chest X-ray. The...
A Case of Cleidocranial Dysostosis with Leukemia.
Baik Lin eun, Si Hun Han, Young Sook Hong, Soon Kyum Kim
J Korean Pediatr Soc. 1988;31(7):930-934.   Published online July 31, 1988
Cleidocranial dysostosis is a rare, inherited abnormality which affects the development of mem- bransous and cartilaginous bone. Authors report a case of cleidocranial dysostosis with leukemia in a 10 year old boy. The review of the literature was made briefly.
A Case of Kasabach-Merritt Syndrome.
Eun Hwa shin, Youn Hong Choi, Ju Hong Cha, Kwang Jun Kim
J Korean Pediatr Soc. 1988;31(7):935-941.   Published online July 31, 1988
Kasabach-Merritt Syndrome is a combination of a rapidly enlarging hemangioma and throm- bocytopenia. A 5 day old male newborn who had giant hemangioma associated with thrombocytopenia and anemia is reported with review of literatures. He was placed on prednisolone, blood transfusion, and compression with the elastic bandage over hemangioma. Hemangioma has been somewhat regressed, bleeding tendency has been improved, however, platelt counts are still low.
One Case of Pheochromocytoma.
Jong Jin Kim, Jung Oh Kim, Sung Won Kang, Byung Churl Lee
J Korean Pediatr Soc. 1988;31(7):942-947.   Published online July 31, 1988
The Pheochromocytoma is a rare tumor of childhood and can arise from chromaffin tissue anywhere in the body. Most commonly it is located in the adrenal medulla, especially on the right side. We experienced a case of pheochromocytoma in a 14 year old boy, who had paroxysmal palpitation, perspiration, dyspnea and contemporary paroxysmal hypertension. Diagnosis was made by clinical features, elevated plasma catecholamine concentration,...
A Case of Systemic-Onset Juvenile Rheumatoid Arthritis with Multiple Complications.
Jong Deok Kim, Dong Joo Na, Jin Han Kang, Kyong Su Lee, Ki Yeal Sung
J Korean Pediatr Soc. 1988;31(7):948-952.   Published online July 31, 1988
We recently experienced a case of systemic-onset juvenile rheumatoid arthritis with protracted and variable clinical course with multiple complications and sequeles including pericarditis, disseminated intravascular coagulation, severe ankylosis and bony fusion of neural arches of C2 through C6 vertebrae, and multiple chronic arthritis causing joint deformities at relatively young age of nine. A brief review of related literatures is also presented.