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Volume 44(8); Aug 2001
Clinical Lecture
Adolescent Nutrition
Sang Hee Park
J Korean Pediatr Soc. 2001;44(8):857-866.   Published online August 15, 2001
Original Articles
Usefulness of Serum Prealbumin Concentration as a Marker for Nutritional Adequacy in Premature Infants
Soo Jin Lee, Eun Ae Park, Jeong Wan Seo
J Korean Pediatr Soc. 2001;44(8):867-874.   Published online August 15, 2001
Purpose : Serum prealbumin concentration has been proposed as a useful nutritional marker that responds rapidly and sensitively to calory and protein intake. But the reports of prealbumin in premature infants are not sufficient and variable. The purpose of this study was to evaluate the usefulness of serum prealbumin concentration as a marker for nutritional adequacy in premature infants. Methods...
The Detection of Chlamydia trachomatis Using Nested PCR in Prematurity and Delivery of Low Birth Weight Infant
Jae Ho Noh, Hye Kyung Lee, Han Jin Kim, Yong Sik Min, Kyeong Bae Park, Joon Soo Park, Young Chang Kim, Sung Ran Cho
J Korean Pediatr Soc. 2001;44(8):875-880.   Published online August 15, 2001
Purpose : Polymerase chain reaction(PCR) has generally been more sensitive than traditional tests for the detection of Chlamydia trachomatis which has been a leading cause of sexually transmitted disease. We performed this study to find out if there is an association between C. trachomatis infection and low birth weight(LBW) or prematurity. Methods : The study included 98 premature or LBW infants...
M-mode Echocardiographic Abnormalities in Infants of Diabetic Mothers
Myung Chul Hyun
J Korean Pediatr Soc. 2001;44(8):881-885.   Published online August 15, 2001
Purpose : The purpose of this study was to evaluate M-mode echocardiographic abnormalities in infants of relatively well controlled diabetic mothers and to determine the timing of spontaneous regression. Methods : Echocardiographic study was prospectively carried out in 9 neonates born to diabetic mothers(infants of diabetic mothers, IDM) and 6 newborn infants(control) matched for weight and age. And the study were...
The Measurement of Neonatal Pulmonary Artery Pressure by Echocardiography
Ju Young Chung, Dong Chul Park
J Korean Pediatr Soc. 2001;44(8):886-892.   Published online August 15, 2001
Purpose : The main purpose of this study was to conduct accurate noninvasive measurement of the pulmonary artery pressure(PAP) in the neonatal period. The other purpose was to find some descriminant factors that are correlated with pulmonary artery pressure even when there is no tricuspid regurgitation(TR) or patent ductus arteriosus(PDA). Methods : 32 cases of premature and full term infants with...
Serial Changes of CK, CK-MB after Radiofrequency Catheter Ablation in Pediatric Patients
Se Young Kim, Myung Chul Hyun
J Korean Pediatr Soc. 2001;44(8):893-898.   Published online August 15, 2001
Purpose : To investigate the degree of myocardial injury incurred by radiofrequency catheter ablation(RFCA), we serially measured CK, CK-MB levels in 24 pediatric paroxysmal supraventricular tachycardia patients undergoing RFCA(male : 12, female : 12, mean age : 10.5 years, mean weight : 37.2 kg). Methods : We serially measured blood CK, CK-MB levels, 1 day before RFCA(baseline), 8 hours after...
The Usefulness of Magnetic Resonance Cholangiography in the Diagnosis of Biliary Atresia
Seok Joo Han, Ki Sup Chung, Myung-Joon Kim, Airi Han, Eui Ho Hwang
J Korean Pediatr Soc. 2001;44(8):899-907.   Published online August 15, 2001
Purpose : To evaluate the usefulness of magnetic resonance cholangiography(MRC) for the diagnosis of biliary atresia in infantile cholestatic jaundice. Methods : Fifty consecutive infants with cholestatic jaundice underwent single-shot MRC for 3 years. The radiologic diagnosis of non-biliary atresia with MRC was based on visualization of the common bile duct and common hepatic duct. The diagnosis of biliary atresia was...
QT Dispersion after Chemotherapy with Anthracyclines in Children
Jae Kon Ko, Young Hwee Kim, In Sook Park, Jong Jin Seo, Hyung Nam Moon
J Korean Pediatr Soc. 2001;44(8):908-915.   Published online August 15, 2001
Purpose : Anthracycline induced cardiotoxicity is well known and its pathology is characterized by localized myocardial cell necrosis and myocardial fibrosis. The variability in QT interval duration amongst the different leads of the standard 12-lead ECG(QT dispersion) is considered to reflect inhomogenous repolarization of the myocardium. The aim of this study was to assess the effects of anthracycline on cardiac...
Evaluation of the Severity in Patients with Bronchial Asthma Using FEF25-75%
Sun Yoon Jung, Eun Sil Lee, Young Hwan Lee, Han Ku Moon
J Korean Pediatr Soc. 2001;44(8):916-921.   Published online August 15, 2001
Purpose : Spirometry, because of its simplicity and reproducibility, has been used to evaluate pulmonary function in childhood asthma. We investigated whether FEF25-75% is the most sensitive parameter among other spirometric parameters in the diagnosis of pulmonary function and airway obstruction. Methods : This study included 32 children with asthma. We recorded values of spirometry(FVC, FEV1, PEFR, and FEF25-75%) before and...
Growth Hormone Receptor Mutation and Partial Growth Hormone Insensitivity in Children with Idiopathic Short Stature
So Chung Chung, Ran Namgung, Duk Hee Kim
J Korean Pediatr Soc. 2001;44(8):922-935.   Published online August 15, 2001
Purpose : Children with idiopathic short stature(ISS) are classified on the basis of exclusion criteria. Short stature with normal or increased circulating growth hormone(GH) and low IGF-I levels indicates that partial growth hormone insensitivity(GHI) may play a role in ISS. The present study was performed to investigate whether partial GHI is observed in children with idiopathic short stature and whether...
Case Reports
A Case of Measles Encephalopathy with Thalamic Lesion on Magnetic Resonance Imaging
Dae Hun Pee, Dae Jin Song, Young Kyoo Shin, Jung Hwa Lee, Kee Hyoung Lee, Baik Lin Eun, Sang Hoon Cha
J Korean Pediatr Soc. 2001;44(8):936-941.   Published online August 15, 2001
We experienced a case of measles encephalopathy with thalamic lesion on magnetic resonance imaging(MRI) in a 12 year old boy. Measles symptoms such as fever, erythematous maculopapular rashes on whole body and cough with sputum appeared 4 days before neurologic signs such as agitation and drowsy-to-confused mentality. He showed remarkable motor dysfunction without evidence of sensory loss. MRI showed bilateral...
Two Cases of Growth Hormone Therapy in Idiopathic Dilated Cardiomyopath
Jeong Won Shin, Hong Ryang Kil, Jae Hong Yu
J Korean Pediatr Soc. 2001;44(8):942-947.   Published online August 15, 2001
Growth hormone receptor gene is expressed in the myocardium and growth hormone(GH) administration has been shown to increase cardiac insulin-like growth factor-I(IGF-1) contents. The cardiac myocyte express IGF-I receptors and IGF-I promotes cardiac hypertrophy. Furthermore GH therapy has been reported to have beneficial effects in the treatment of dilated cardiomyopathy in adults. We have studied the effect of short term...
A Case of Neonatal Urinary Ascites due to Bladder Perforation Treated with Urinary Drainage
Heng-Mi Kim, Su-Hee Kwak, Sung-Kwang Jung, Sang-Kwon Lee
J Korean Pediatr Soc. 2001;44(8):948-953.   Published online August 15, 2001
Urinary ascites in newborns is a rare event that usually is associated with posterior urethral valves and other obstructing anomalies of the genitourinary tract. A case of neonatal urinary ascites without genitourinary tract abnormalities is reported. This premature male neonate was treated by artificial ventilation due to respiratory distress syndrome. The umbilical artery catheter was placed without difficulties and functioned...
A Case of Acute Necrotizing Encephalopathy
Sung Kee Kim, Se Wook Oh, Young Kyoun Kim, Se Chang Ham, Yong Won Park, Sang Woo Kim
J Korean Pediatr Soc. 2001;44(8):954-958.   Published online August 15, 2001
This disease predominantly affects infants and young children living in Japan and Taiwan, and manifests itself as acute encephalopathy following viral infections. The hallmark of this encephalopathy is multifocal, symmetric brain lesions affecting bilateral thalamus, brainstem tegmentum, cerebral periventricular white matter and cerebellar medulla, which can be visualized by computed tomography and magnetic resonance imaging. Both the gray and white...
Malignant Ectomesenchymoma in a Two-Month-Old Boy
Ji Young Hwang, Ji Hyoun Seo, Jeum-Su Kim, Young-Suk Kim, Sue-Jin Lee, Chan-Hoo Park, Yoo Kyung Kim, Sun Hoo Park, Jung Hee Lee, In Oak Ahn, Ki Hyun Chung, Byung-Kiu Park
J Korean Pediatr Soc. 2001;44(8):959-964.   Published online August 15, 2001
Malignant ectomesenchymoma is a rare tumor originating from remnants of migratory neural crest(ectomesenchyme) and composed of neuroectodermal as well as mesenchymal components. Neuroblasts and ganglion cells constitute the neuroectodermal components and rhabdomyosarcoma is the most frequently encountered mesenchymal components. We report a case of malignant ectomesenchymoma in a two-month-old boy who was presented with abdominal pain and urinary difficulty. The...
Chondrodysplasia Punctata(Rhizomelic Type) Associated with Pneumothorax
Ji Sun Mok, Hye Won Hwang, Jin Eun Kim, Dong Seok Lee, Doo Kwun Kim, Seong Min Choi
J Korean Pediatr Soc. 2001;44(8):965-970.   Published online August 15, 2001
Chondrodysplasia punctata is a rare congenital syndrome caused by a peroxisomal dysfunction. Chondrodysplasia punctata is classified into four main types-Coradi-Hunermann's type, rhizomelic type, X-linked dominant form and X-linked recessive form. A male patient with this condition was born at 39 weeks gestation, the pregnancy being complicated by polyhydroamnios, breech presentation, and anomalies of congenital limbs. At delivery, there was no...
A Case of Graves Disease with Kyphosis by Osteoporosis
Yo Won Na, Kee Hyoung Lee, Kee Hwan Yoo, Young Sook Hong, Ju Won Lee, Soon Kyum Kim
J Korean Pediatr Soc. 2001;44(8):971-975.   Published online August 15, 2001
Graves disease is the most common clinical feature of hyperthyroidism in childhood. Clinical manifestations include emotional lability, hyperactivity, tremor, excessive sweating, exophthalmos and weight loss. In Graves disease, osteoporosis could occur because of a disturbance of mineral homeostasis which rarely develops from reduced calcium absorption of the gastrointestinal tract and increased urinary calcium excretion related to an increased bone resorption....