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Volume 36(9); Sep 1993
Medical Lecture Course
Advance in Epilepsy
Wonil Park
J Korean Pediatr Soc. 1993;36(9):1191-1196.   Published online September 15, 1993
Original Articles
Changes of IgG Subclasses in the Sera of the Children with Kawasaki Disease
Seog Beom Cho, Sun Kyu Park, Pyoung Han Hwang, Jung Soo Kim, Sa Hyoung Choi
J Korean Pediatr Soc. 1993;36(9):1197-1202.   Published online September 15, 1993
Kawasaki disease is an acute vasculitis of infancy and early childhood characterized by high fever, rash, mucositis, lymphadenopathy and coronary artery damage. The failure to indentify a causative organism using convetional culture and serological techniques, and the lack of response to antibiotics indicate that the disorder is probably not due to any known bacterial or viral pathogens. During...
Effects of Equiseti Herba Water-heating Extract on the Kidney and liver of Rats
Yoon Jong Yoo, Eun Gyeoung Jung, Kap Seoung Kim, Kyeong Rae Moon, Sang Kee Park, Young Bong Park, Keun Hong Kee
J Korean Pediatr Soc. 1993;36(9):1203-1210.   Published online September 15, 1993
The effects of Equiseti Herba water-heating extract on the kidey & liver of rats were studied in 25male Sprague-Dawley rats evenly divided into five groups, i.e., 5 rats each. The group I, which served as control and the group II, III, IV, were fed 300 mg/kg, 500mg/kg, 1000mg/kg of Eqiseti Herba water-heating extract daily for one week, respectively. The group...
Indirect Measurement of Blood Pressure in Neonates Using an Automatic Noninvasive Oscillometric Monitor
Jung Hea Park, Hea Jin Choeh, Eun Sik Kang, Chong Sung Chung, Kyuchul Choeh
J Korean Pediatr Soc. 1993;36(9):1211-1218.   Published online September 15, 1993
The measurement of blood pressure in neonates is an important diagnostic procedure. But the measurement of blood pressure has not been performed routinely because of difficulty in measuring blood pressure and varable normal range according to measuring apparatus. Recently some accurate and convenient apparatus of measuring blood pressure have been introduced in neonatal care, so the reference values...
Postnatal Changes of Cretine Kinase and Isoenzyme Activities in Normal and Asphyxiated Newborns
Ki Young Koo, Nam Geun Heo, Heng Mi Kim
J Korean Pediatr Soc. 1993;36(9):1219-1226.   Published online September 15, 1993
This study was conducted to evaluate the postnatal changes of serum creatine kinase (CK)and its isoenzymes in normal and asphyxiated newborns. In normal newborns total CK, CK-MM and CK-MB reached a plateau between 2 and 24 hr after birth whereas the serum CK-BB remained stable after birth. CK-MM, CK-MB and CK-BB respectivily composed 90~94%, 5~7% and 1~5%...
A Clinical Study of Congenital Anomalies in Births associated with Hydramnios
Eun Sil Shin, Min Jeong Kim, Ock Seung Jeong, Son Sang Seo
J Korean Pediatr Soc. 1993;36(9):1227-1235.   Published online September 15, 1993
A study was made in the congenital anomalies in 137 babies born to 120 mothers with hydramnios, delivered at Ilsin Christian Hospital between Jan. 1st 1981 and Dec. 31th 1990. The results were as follows; 1) The incidence of hydramnios was 16/1000 deliveries, 120 cases in total 73,129 deliveries. 137 infants was born and of...
A Clinical Survey of Prolonged Q-T Syndrome among Korean Children with Congenital Deafness
Kang Woo Lee, Kyung Bum Kim, Chang Sung Son, Joo Won Lee, Young Chang Tockgo
J Korean Pediatr Soc. 1993;36(9):1236-1244.   Published online September 15, 1993
The clinical symptom complex characterized by syncopal attacks and sudden death in patients with electrocardiographic anomalies, especially a prolonged Q-t interval is known as the Romano-Ward syndrome. When a similar syptom complex is accompanied by congenital deafness, it is called Jervell and Lange-Nieisen syndrome. This study was underataken to investigate the incidence of the latter syndrome in the...
Neurologic Complications after Open-Heart Surgery in Children
Tae Sung Ko, Ki Joong Kim, Dong Wook Kim, Yong Seung Hwang, Yong Jin Kim, Joon Ryang Rho
J Korean Pediatr Soc. 1993;36(9):1245-1257.   Published online September 15, 1993
Neurologic complications after open-heart surgery are not only relatively common but also often fatal. In order to know the clinical characteristics and carsative risk factors, we carried out the retrospective study on 655 patients who had been admitted and undergone OHS at Seoul National University Children's Hospital during 2-year period from July 1990 to June 1992. The results...
A Clinical Study of Childhood Soft Tissue Sarcoma
Hye Lim Jung, Hong Heo Koo, Hee Young Shin, Hyo Seop Ahn
J Korean Pediatr Soc. 1993;36(9):1258-1270.   Published online September 15, 1993
Medicine, Seoul, Korea Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea To study the clinical characteristics and treatment results of childhood soft tissue sarcoma, the retrospective study was performed on 67 patients with soft tissue sarcoma, experienced at the Department of Pediatrics, Seoul National University Hospital from January, 1982 to July, 1990. The...
The Risk of Seizure Recurrence of Pediatric Epileptic Patients While Receiving Anticonvulsant Drugs Treatment
Dae Sung Hwang, Byung Hyun Kim, Kwang Soo Oh, Yeon Kyun Oh, Hyang Suk Yoon, Jong Duck Kim
J Korean Pediatr Soc. 1993;36(9):1271-1278.   Published online September 15, 1993
To evaluate the risk and factors associated with seizure recurrence on children with epilepsy while receiving the adequate anticonvulsant treament, we studied 58 patients with newly diagnosed epilepsy who were followed prospectively for a median of 26 months (range 7 to 54). The results were as follows: 1) Forty-four of the 58 patients (75.9%)had recurrence...
Changes in Somatostatin Immunoreactive Neurons in Rat Corebral Cortes after Systemic Kainic acid Administration
Myung Yeun Lee, Sa Jun Chung, Chang Il Ahn
J Korean Pediatr Soc. 1993;36(9):1279-1290.   Published online September 15, 1993
This study was aimed to clarify the effects of systemic kainic acid(KA) administration(10mg/kg i.p.) on somatostatin containing neurons, and to examine the distribution of somatostain immunoreactive neurons in the cerebral cortex of the rats. Animals were sacrificed at three time points at the two, six, and ten days after the injection of KA. Thirty-six rats were observed by using the free-floating immunohistochemical...
A Clinical Study of Bronchial Asthma in Children
Seung Hee Park, Myung Ik Lee, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1993;36(9):1291-1299.   Published online September 15, 1993
This report is a clinical analysis and comparative study with previous report of bronchial asthma at National Medical Center on bronchial asthma in children who were admitted to the MP dept. of national Medical Center from January 1987 to December 1990. The results of the study were as follows: 1) The out-break ratio of bronchial asthma is 3.7% of hopitalized children which...
Comparison of Tuberculin Skin Test Results and Adberse Reactions Following BCG Vaccination In Various Infant Groups of Different Ages
In Seung Park, Dong Ki Han, Ho Joon Lim, Sung Hee Oh, Hahng Lee
J Korean Pediatr Soc. 1993;36(9):1300-1307.   Published online September 15, 1993
Most authorities including WHO recommended immununizing infants with BCG as early as possible in areas prevalent with tuberculosis, however the optimal time for immunization has not well been characterized. Therefore the investigation was undertaken by vaccinating various infant groups of different ages with BCG and subsequently evaluating for adverse effects and tuberculin reactions, in order to contribute to undestanding the...
Case Reports
A Case of Bartter's Syndrome
Jun Ho Yoon, Jeong Eun Kwon, Jae Ouk Lee, Sang Gil Lee
J Korean Pediatr Soc. 1993;36(9):1308-1314.   Published online September 15, 1993
Bartter's syndrome is a rare tubular disorder characterized by hypokalemic, hypochloremic metabolic alkalosis, hyperreninemic hyperaldosteronism, hyporesponsiveness to pressor agents, and juxtaglomerular apparatus hyperments In addition to a case report, brief review of related literatures was done.
Three Cases of Atypical Kawasaki Disease with Coronary Aneurysm
Min-Young Park, Kwang-Sun Han, Sung-Yoon Cho, Byoung-Soo Cho, Sung-Ho Cha
J Korean Pediatr Soc. 1993;36(9):1315-1319.   Published online September 15, 1993
Kawasaki disease is described by fever lasting five days or more, bilateral conjunctival injection, changes of lips and oral cavity, polymorphous exanthema, acute non-purulent cervical lymphadenopathy, and changes of extremities. Atypical Kawasaki disease is defined as fewer than 4 of 6 criteria described above including coronary artery abnormalities. Especially, atypical clinical manifestations of Kawasaki disease appear in infants younger than 6...
Three Cases of Acute Suppurative Thyroiditis in children
Min Joong Kwon, Ho Seong Kim, Duk Hi Kim, Duk Hi Kim
J Korean Pediatr Soc. 1993;36(9):1320-1324.   Published online September 15, 1993
Acute suppurative thyroiditis is uncommon in children. The relative rarity of thyroid infection is thought to reflect its complete fibrous encapsulation, generous vascular and lymphatic supply and high local iodine level. the bacterial involvement include the normal oropharyngeal microflora, and broad spectrum antibiotic therapy including anaerobic coverage should be utilized initially. We have experienced three cases of acute suppurative throiditis. All...
A Case of Aicardi Syndrome with Cleft Lip and Palate
In Seok Yang, Gyung Og Yu, Soo Ahn Chae, Dug Ha Kim, Chong Young Park, Ik Won Kang
J Korean Pediatr Soc. 1993;36(9):1325-1330.   Published online September 15, 1993
A case of Aicardi syndrome with cleft lip and palate was experienced at the Department of Pediatrics, College of Medicine, Hallym University, and the patient's infantile spasm was treated with ACTH. In previous studies, four cases of Aicardi syndrome accompanied by cleft lip and palate were reported. We present the fifth case of Aicardi syndrome with cleft lip and palate...