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Volume 33(9); Sep 1990
Original Articles
A clinical and Statistical study of Meconium Stained Baby: A Two Year Prospective Study.
Joo Hyun Ham, Sang Yoon Ahn, In Joon Seol, Soo Jee Moon, Hahng Lee
J Korean Pediatr Soc. 1990;33(9):1173-1179.   Published online September 30, 1990
Among the total of 2,483 Newborns delivered at Hanyang University Hospital from January 1987 to December 1988, a clinical study was performed of meconium stained baby. The results are summerized as follows: 1) The incidence of meconium staining was 13.4% (333 cases) in total 2,483 newborns. 2) In the groups that the birth weight is 2501 ~ 4000 gm and up to 4001 gm, the incidence...
A Study of Clinical Observations in Neonatal Sepsis.
E S Kim, K H Kim
J Korean Pediatr Soc. 1990;33(9):1180-1187.   Published online September 30, 1990
We have experienced 67 cases of neonatal sepsis confirmed by clinical symptoms and blood culture between July 1983 and June 1988 at Ewha university hospital. The results obtained were as follows: 1) The incidence of septicemia was 0.6%. The sex ratio of patients was 0.97:1 with 33 males and 34 females. 2) The incidence was higher in preterm babies than in full term babies and higher in...
Measurement of Carboxyhemoglobin in the Newborns with ABO Incompatible Hyperbilirubinemia.
Jung Ae Shin, Son Moon Shin, Jeong Ok Hah, Chun Dong Kim
J Korean Pediatr Soc. 1990;33(9):1188-1193.   Published online September 30, 1990
To develop more reliable screening test for ABO incompatible hemolytic disease than commonly employed and to identify possible indicators of severity of hyperbilirubinemia, a pilot study was performed by measuring the carboxyhemoglobin (HbCO) of the newborn babies within 48 hours after birth. Forty eight newborn babies were studied and carboxyhemoglobin was measured by spectro- photometry and serum bilirubin was measured by Diazo coupling method. There...
A Clinical Observation of Neonatal Hyperbilirubinemia due to ABO Incompatibility.
Mi Jung Koh, Young Kyun Lee, Jin Hong Park, Yeon Kyun OH
J Korean Pediatr Soc. 1990;33(9):1194-1201.   Published online September 30, 1990
A clinical and statistical study was performed on 43 neonates of hyperbilirubinemia due to ABO incompatibility who were admitted to department of pediatrics of Won-kwang University hospital from May 1987 to June 1988. The following results were obtained: 1) The incidence of hyperbilirubinemia within 48 hrs were 30.3% in the incompatible group and 10. 2% in the compatible group. So, hyperbilirubinemia was appeared earlier in...
Transcutaneous Oxygen and Carbon Dioxide Monitoring in Critically Ill Neonates.
Du Young Choi, Yong Kweon Kim, Yeon Kyun Oh
J Korean Pediatr Soc. 1990;33(9):1202-1208.   Published online September 30, 1990
We studied the correlation of 85 paired arterial, transcutaneous P02 and 50 paired arterial, trans- cutaneous PCO2, which were obtained from 9 sick preterm infants within first week of their life, who were bom at the Wonkwang University Hospital from March. 1, 1988 to Feb. 28, 1989. And we also analysed the affect of the pH, body temperature, hematocrit and birth weight to...
Vitamin K Dependent Hemorrhagic Disease of the Newborn and Infancy with Intracranial Hemorrhage.
Ji Eun Lee, Pal Dong Kim, Hong Dae Cha, Heung Sik Kim, Chin Moo Kang
J Korean Pediatr Soc. 1990;33(9):1209-1215.   Published online September 30, 1990
Eight cases of vitamin K dependent hemorrhagic disease of the newborn and infancy with intra- cranial hemorrhage were analysed clinically. Out of 8 cases, 3 cases developed the bleeding within 7 day of life and 5 cases after one month. Two cases had bleeding before initial feeding. Out of 6 cases who were fed before the onset of bleeding, 4 cases had breast feeding. Neurological...
Changes in Auditory Brainstem Reponses (ABR) in Severe Hyperbilirubinemic Neonates with Transient Bilirubin Encephalopathy.
Chong Woo Bae, Sa Jun Chung, Chang Il Ahn
J Korean Pediatr Soc. 1990;33(9):1216-1222.   Published online September 30, 1990
Many authors have reported alterations in the ABR in severe hyperbilirubinemia and ABR is an effective non-invasive method of assessing the functional status of the auditory nerve and brainstem sensory pathway in the management of neonatal hyperbilirubinemia. Perlman et al reported that jaundice in the early neonatal period is associated with significant transient aberration of ABR, suggestive of a transient bilirubin encephalopathy (TBE). And...
Human Rotavirus Antigen in Respiratory Secretion.
Kyung Min Lee, Won Chul Lee, Kook Shin Chang, Mee Kyung Chjang, Woo Tack Kim, Dong Jin Lee
J Korean Pediatr Soc. 1990;33(9):1223-1230.   Published online September 30, 1990
A clinical study was carried out on 33 diarrhea patients to determine the frequency and degree of respiratory symptoms and signs in patients with gastroenteritis who had HRV antigen in respira- tory secretion. We devided study group into two: One was 11 children who had HRV antigen in respiratory secretion but did not have in diarrheal stool and the other was 22 children who...
Relationship between anaphylactoid purpura and Beta-Hemolytic Streptococcal Infection.
Ji Eun Lee, Young Sook Kang, Joon Sik Kim, Sung Ho Kim, Chin Moo Kang
J Korean Pediatr Soc. 1990;33(9):1231-1236.   Published online September 30, 1990
Relationship between anaphylactoid purpura and beta-hemolytic streptococcal infection was obser- ved and analyzed through clinical manifestation and labortory findings in 146 cases of allergic purpura, hospitalized at Dongsan hospital, Keimyung University during the period from January, 1981 to May, 1987. The following results were obtained. 1) The age distribution of anaphylactoid purpura showed a peak incidence between 2 to 7 years of age and male preponderance was...
IgA Nephropathy in Childhood.
Yong Choi, Dong Woo Son, Ja Wook Koo, Dong Kyu Jin, Hae Il Cheong, Kwang Wook Ko, Hyun Soon Lee, Yong Il Kim
J Korean Pediatr Soc. 1990;33(9):1237-1243.   Published online September 30, 1990
In this study we compared between the patients with recurrent gross hematuria (group 1, n=45) and * with nephrotic range proteinuria (group 2, n=21) in IgA nephropathy who were admitted to Seoul National University Children’s Hospital during the period from January, 1980 to December, 1989. The results of the study were as follows. 1) Age of onset and sex ratio were not different between the...
Relationship between Skin Test and Eosinophil Count Total IgE & RAST in Children with Allergic Symptoms.
Won Yeob Kim, Min Hee Yeo, Byung Hak Lim, Im Ju Kang
J Korean Pediatr Soc. 1990;33(9):1244-1254.   Published online September 30, 1990
Prick skin test was done on 129 cases of allergic disease children who were admitted to the department of pediatrics, Taegu Fatima Hospital, from July 1987 to June 1988. The results were following: 1) Among the total 129 cases which were positive reaction in prick skin test, the sex ratio was 4 to 1 with male predominance. The peak age incidence was 5 to 6...
Immunologic Changes in Bronchial Asthma on Immunotherapy.
Joon Sung Lee, Kyung Tai Whang, Sung Hoon Cho
J Korean Pediatr Soc. 1990;33(9):1255-1261.   Published online September 30, 1990
The best treatment of allergic disease is to avoid exposure to known allergen. Immunotherapy has been attempted in IgE-mediated allergic patients who didn’t show any responses to pharmacologic therapy or couldn’t avoid allergen. There have been many enthusiastic claims for symptomatic relief of allergic disease by various forms of hyposensitization, first introduced by Noon and Freeman (1911) in the treatment of hay fever. The mechanism of...
A Case of 9p-Syndrome.
Bok Hoi Kim, Shin Heh Kang, Kir Young Kim, Kyung Ja Cho, Kyung Hee Ha, Bum Suk Lee
J Korean Pediatr Soc. 1990;33(9):1262-1265.   Published online September 30, 1990
We experienced a case of 9p- syndrome in a 2 year and 5 month old male child who manifested psychomotor retardation and multiple congenital anomalies. His karyotype was 46, XY, del (9) (p22). A brief review of literature was also presented.
A case of Meconium Peritonitis.
Youn Young Yu, Hyun Soon Lee, Eui Bon Koo, Sung Won Kim, Gil Hyun Kim
J Korean Pediatr Soc. 1990;33(9):1266-1270.   Published online September 30, 1990
Meconium peritonitis is an aseptic peritonitis caused by spill of meconium in the abdominal cavity through discontinuation of the intestine by any cause, which have taken place during intrauterine or perinatal life. We experienced a case of meconium peritonitis in an 1-day-old male neonate who had the chief complaint of dyspnea and abdominal distension. The review of the literature was made briefly.
Congenital Cytomegalovirus infection.
Kang Woo park, Ho Seek Ahn, Eui Bon Koo, Sung Won Kim, Kil Hyun Kim
J Korean Pediatr Soc. 1990;33(9):1271-1275.   Published online September 30, 1990
We report a case of congenital cytomegalovirus infection that was associated with microcephaly, hydrocephalus and periventricular calcification. The male baby was born after 39wks gestation to 28 year-old mother who had no prenatel problem except for active pulmonary tuberculosis and pre- mature rupture of membrain. Hydrocephalus was recognized by antenatal ultrasonography at 8 weeks of geststional age and microcephaly was noted at birth. This enable...
A Case of the Membranous Type of Prepyloric Gastric Atresia.
Young Soon Shin, Byeng Gu Min, Kyeong Sook Cho, Jong Dai Jo
J Korean Pediatr Soc. 1990;33(9):1276-1280.   Published online September 30, 1990
Gastric atresia is a very rare congenital anomaly that causes obstructive symptoms. In 1965 Gerber classified this anomaly. According to this classification, we recently experienced a case of the membranous type of prepyloric gastric atresia in a 30 month old female, diagnosed by clinical, radiological, and surgical findings. And we report this case with a review of literature.
A Case of Acute Mixed Lineage Leukemia (ANLL with TII) with neutropenic Enterocolitis.
Hyeon Joo Choi, Young Suk Koh, Young Mee Hong, Seung Joo Lee, Kee Suk Hong, Keum Ja Choi
J Korean Pediatr Soc. 1990;33(9):1281-1287.   Published online September 30, 1990
We report a case of acute mixed lineage leukemia with both lymphoid and myeloid lineage characteristics (ANLL with Til) in a twelve-year-old girl who presented with fever and multiple petechiae. Bone marrow remission was obtained by treatment with acute lymphoid leukemia regiman (CCSG 106A). During induction chemotherapy, the patient was complicated by intestinal perforation due to neutropenic enterocolitis but recovered by surgical intervention and...
A Case of Autoimmune Hemolytic Anemia Associated with Chronic Hepatitis in Children.
Kwan Mo Choi, Kyeong Hun Cha, Eun Yeong Kwak, Kyung Rae Moon, Yeong Bong Park
J Korean Pediatr Soc. 1990;33(9):1288-1293.   Published online September 30, 1990
Recently, We experienced a case of autoimmune hemolytic anemia in a 13 year old female patient associated with chronic hepatitis. This female child manifested severe pallor, jaundice, abdominal pain and fever. This diagnosis was made on the bases of typical clinical features, C.B.C., blood chemistry, coombs test, warm antibody, immunoelectrophoresis, peripheral blood smear and bone marrow examination. The patient improved with steroid therapy. We report this...
A case of Asphyxiating Thoracic Dystrophy.
Hyung Goo Cho, Hwang Min Kim, Jae Seung Yang, Jong Soo Kim, Whi Yul Cho, So Young Jin
J Korean Pediatr Soc. 1990;33(9):1294-1300.   Published online September 30, 1990
Asphyxiating thoracic dystrophy, a rare form of bony dysplasia, is characterized by extreme constriction of thorax, short limbed dwarfism, abnormalities of pelvic bone in neonatal period, and progressive interstitial nephritis in childhood. The incidence of this syndrome has been estimated at 1 per 100,000 to 130,000 live births and more than 100 patients have been reported worldwide. Infants with asphyxiating thoracic dystrophy usually have...
A Case of Estrogen-producing Sertoli-Leydig Cell Tumor with Precocious puberty.
Myung Sun Oh, Nan Kyoung Kim, Dae Hyun LIm, Jeung Hee Kim, Byong Kwan Son, In Suk Joo, Ku Sang Kim, Young Chai Joo
J Korean Pediatr Soc. 1990;33(9):1301-1305.   Published online September 30, 1990
We have experienced a case of estrogen producing Sertoli-Leydig cell tumor with precocious puberty in a 2-year-old girl. Her chief complaints were breast enlargement, which was noticed 20 days prior to admission and vaginal bleeding, which was noticed 10 days prior to admission. The diagnosis was made on the basis of history, physical examination, ultra sonography, hormonal study, and histologic study after operation. She was...
A Case of Phenytoin Induced Toxic Epidermal Necrolysis.
Hae Joung Joung, Wea Kyoun Shin, Mee Kyung Namkung, Jae Seung Yang, Jong Soo Kim, Dong Sik Bang
J Korean Pediatr Soc. 1990;33(9):1306-1311.   Published online September 30, 1990
Toxic epidermal necrolysis is a bullous erythematous disease characterized by scalding appearance of the skin. And , it is divided into drug induced, miscellaneous, idiopathic group by the etiology. We experienced a cases of Phenytoin induced toxic epidermal necrolysis. So, we presented the case and reviewed the literatures about it.
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (53).
Gook Jin Moon
J Korean Pediatr Soc. 1990;33(9):1312-1312.   Published online September 30, 1990
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (53).
Chong Kil Lee
J Korean Pediatr Soc. 1990;33(9):1313-1313.   Published online September 30, 1990