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Volume 33(4); Apr 1990
Original Articles
Hypophosphatemic Rickets.
Kyung Mo Kim, Seong Hoon Ha, Dong Kyu Jin, Kwang Wook Ko
J Korean Pediatr Soc. 1990;33(4):437-447.   Published online April 30, 1990
Seventeen patients who were diagnosed as primary hypophosphatemic rickets at Department of Pediatrics, Seoul National University Children’s Hospital were analyzed to assess its clinical aspect and effect of treatment, especially on height and growth velosity. The average age of onset was 2 years, and their chief complaints were bowleg and short stature. Sex ratio was l.l:l(male: female). Familial hypophoshatemic rickets was known as X-linked...
Effect of Position Change on TcPO2 in the Newborns.
Young Pyo Chang, Yong Joon Shin, Myoung Jae Choey, Beyong Il Kim, Jung Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1990;33(4):448-455.   Published online April 30, 1990
To determine the optimal position for the neonatal intensive care, transcutaneous oxygen tension (TCPO2) was monitored in 20 healthy preterm infants and 20 healthy term infants using the Radiometer Tc Oxgen Monitor in both supine and prone position. Also, transcutaneous oxygen tension (TcPO2) was monitored with tilting change in each position. When the infants were prone, TcPO2 rose by a mean of 7.36 mmHg...
A clinicostatistical Study of Congenital Intestinal Obstruction.
Min Young Lee, Young Sook Hong, Se Jin Kang, Soon Kyum Kim, Pyung Hwa Choe
J Korean Pediatr Soc. 1990;33(4):456-462.   Published online April 30, 1990
A clinicostatistical assessment of the 134 patients with congenital intestinal obstruction who were admitted to the department of pediatrics and pediatric surgery. Korea university medical center from Feb. 1979 to June. 1988 was performed. The results were as follows. 1) Congenital hypertrophic pyloric stenosis (43 cases) was the' most common congenital intestinal obstruc- tion, and congenital megacolon (24 cases), imperforate anus (23 cases), omphalocele (11 cases),...
A Study on the Pre-and Post-operative Growth Status of Children with Ventricular Septal Defect.
Kyung Hwan Kim, Chan Yung Kim
J Korean Pediatr Soc. 1990;33(4):463-471.   Published online April 30, 1990
To evaluate the growth status of Congenital Heart Disease, we analyzed the 69 children with Ventricular Septal Defect who were admitted to Pediatric department and Chest Surgery department, Pusan National University Hospital from January, 1986 to June, 1987. The result of study were as follows: 1) This group was composed of 69 consecutive operation on children with ventricular septal defect. The sex distribution chanced to be...
Posterior Nasal Swab Culture in Normal Newborns by Feeding Method.
Young Youn Choi, Tai Ju Hwang, Jae Sook Ma, Kwang Ok Lee, Byung Hee Kim, Young Soo Chung, En Kyeong Bom, Too Yong Yoo
J Korean Pediatr Soc. 1990;33(4):472-480.   Published online April 30, 1990
To evaluate the difference of normal flora between breast and formula-fed newborns, we performed quantitative posterior nasal swab culture in 21 breast-and 44 formula-fed newborns. Positive culture rates of total aerobes and total anaerobes were 100% and 98%, respecitively. Among the aerobes, positive culture rate was 100% in group B streptococcus, 98% in gram negative bacteria, 86% in staphylococcus aureus, 82% in staphylococcus epidermidis...
Hematologic Reference Values of Peripheral Blood in Healthy Newborns and Infants.
Nam Hyuk Joo, Hong Ja Kang, Soon Ho Kim
J Korean Pediatr Soc. 1990;33(4):481-490.   Published online April 30, 1990
To estimate hematologic reference values of the peripheral blood of newnboms and infants, the author examined the routine hematologic parameters by heel or finger puncture in 73 cases of first day newborn, 64 cases of 7 day newborns, 10 cases of 2 month infants, 14 cases of 3~6 month infants and 13 cases of 15~18 month children. The routine hematologic parameters including red cell...
Pituitary Function on Patients with Sellar and Suprasellar Tumor.
Sei Won Yang, Hyung Ro Moon, Byung Kyu Cho
J Korean Pediatr Soc. 1990;33(4):491-498.   Published online April 30, 1990
We observed the status of pituitary hormones (growth hormone, TSH, ACTH, gonadotropin and ADH) in the patients with intrasellar and suprasellar tumors (Table 1 and 2) before and after treatment of tumors. They were estimated from the results of various provocative tests to the pituitary hormones after confimation of normal thyroid function. The results were as belows (Table 3 and 4): 1) Most patients with craniopharyngioma...
Clinical observation of Osteomyelitis in Childhood.
Seong Gyoo Park, Young Suk Hong, Se Jin Kang, Sun Gyum Kim, Pyung Hwa Choi
J Korean Pediatr Soc. 1990;33(4):499-505.   Published online April 30, 1990
After the discovery of penicillin by Fleming in 1939, the mortality rate in the acute stage of the childhood osteomyelitis was markedly decreased. But, because of abuse & misuse of the antibiotics and increment of resistant organisms to antibiotics, the incidence of complications, prevalance and chronic cases tended to increase. During the period of 12 years and 10 months extending from April, 1975 to...
Prognosis according to Etiology and Age at Diagnosis in Congenital Hypothyroidism.
Myoung Sook Nam, Young Jong Oh, Byung Hee Kim, Young Jong Woo, Young Youn Choi, Tai Ju Hwang
J Korean Pediatr Soc. 1990;33(4):506-513.   Published online April 30, 1990
A retrospective study on patients with congenital hypothyroidism was undertaken. The following results were obtained from 17 patients, on whom follow up investigations were available. 1) Males outnumbered females. The etiologic classification revealed: thyroid agenesis (64.7%), dyshormonogenesis (23.5%), and ectopic thyroid (11.8%). 2) In two-thirds of cases the diagnosis were made under 1 year of age, with 23.5% of cases being diagnoses below 3 month and 41.2%...
A case of Gaucher's Disease Diagnosed by beta-Glucosidase Enzyme Deficiency.
Hwan Gyn Park, Yil Sub Lee, Chang Hyun Yang, Chang Ho Hong, Sung Kyu Lee, Kyung Soon Song, Hyeon Joo Jeong
J Korean Pediatr Soc. 1990;33(4):514-521.   Published online April 30, 1990
We experienced a case of adult type Gaucher’s disease in a 2 year 9 month old female. The patient had hepatosplenomegaly with anemia and characteristic Gaucher cells in bone marrow aspiration and biopsy of liver and spleen. Diagnosis was confirmed by demonstration of β-glucosidase enzyme deficiency in circulating leukocytes. Partial splenectomy was followed by improvement of anemia and thrombocytopenia. A brief review of literature was done.
A case of Conjoined Thoracoventro Pagus Twin.
Won Yeob Kim, Min Hee Yeo, Hyang Sook Hyun, Byung Hak Lim, Im Ju Kang, Won Joo Jung
J Korean Pediatr Soc. 1990;33(4):522-527.   Published online April 30, 1990
Conjoined twin is a rare anomaly with an incidence estimated at 1 in 50,000 deliveries and has extremely variable internal anomalies depending on the extent of the united area. We observed a case of male conjoined twin joined by thorax and abdomen who has 3 upper & 2 lower extremities. After birth, the twin revealed severe respiratory difficulties and died at 16th day of...
A case of Erythema Nodosum due to Yersinia Pseudotuberculosis.
Keun Hee Chung, Hong Jong Joo, Yoo Mi Kim, Soon Ki Kim, Moon Soo Park, Jin Keun Chang, Sung Woo Shin
J Korean Pediatr Soc. 1990;33(4):528-533.   Published online April 30, 1990
Yersinia pseudotuberculosis infection is one of the common causes of erythema nodosum in Europe, but in Korea only 2 cases have been reported. Recently authors experienced a 6 year old boy who suffered from erythematous painful skin lesions on the shin and calf, and was diagnosed serologically as erythema nodosum due to Yersinia pseudotuberculosis infection. So we report here the clinical findings of this...
A case of Transient Tricuspid Insufficiency of Newborn(TTI).
Young Kyoo Shin, Eui Kyung Jung, Sang Hee Kim, Chang Sung Son, Joo Won Lee, Young Chang Tockgo
J Korean Pediatr Soc. 1990;33(4):534-538.   Published online April 30, 1990
Transient Tricuspid Insufficiency(TTI) of newborn is a feature of myocardial dysfunction caused by myocardial hypoxemia secondary to reduced arterial oxygen content and excessive right ventricular work consequent to pulmonary hypertension.' Since Doppler echocardiography has been used to diagnose cardiac disease, it allows recording of regurgitant turbulent flow pattern. We report one case of TTI in a 36 week-gestational-aged newborn detected by continuous wave Dopplar echocardiography...
A case of Distal Renal Tubular Acidosis.
Seong Gyoo Park, Gyung Min Ann, Sang Hee Park, Kwang Chul Lee, Chang Sung Son, Pyung Hwa Choi
J Korean Pediatr Soc. 1990;33(4):539-543.   Published online April 30, 1990
Distal Renal Tubular Acidosis is rare disease which is characterized by impaired renal acidification at distal renal tubule and collecting duct. The urinary pH cannot be reduced below 5.8 despite severe systemic acidosis. A 6 months old boy was admitted to Ped. Dept, of Korea University Hospital due to fever and tachypnea. IVP and abdominal sonography were normal. Laboratory data showed hyperchloremia and metabolic acidosis....
Three cases of Chronic Meningitis.
Soon Mee Park, In Sang Jeon, Hyung Ro Moon
J Korean Pediatr Soc. 1990;33(4):544-552.   Published online April 30, 1990
Chronic menigitis may be defined as symptoms and signs of meningeal inflammation lasting four weeks or longer. It has many infectious and noninfectious causes. Tuberculous and fungal infections are the most common causes. But no cause is found in the significant portions of chronic meningitis(idiopathic meningitis), although most appear to respond to treatment either with anti-tuberculosis drugs or steroids. Intereastingly eosinophilic pleocytosis in the cerebrospinal...
Two cases of Klippel-Treaunay-Weber Syndrome.
Chang Suk Seo, Jae In Rho, Young Su Kwon, Man Chul Ha, Jin Young Jung
J Korean Pediatr Soc. 1990;33(4):553-558.   Published online April 30, 1990
We experienced two cases of Klippel-Trenaunay-Weber Syndrome in 8-year old girl and 7-month old girl. In two cases, plain X-ray revealed osteohypertrophy of femur and tibia without any periosteal reaction and unilateral soft tissue hypertrophy was also seen on left lower extremity. In case I, femoral and popliteal venography showed no varix. The review of literatures on this syndrome was presented and discussions were attempted...
A case of Kleeblattschadel Syndrome; cloverleaf Skull.
J S kim, C H Koo, M S Eom, J S Park, H G Jung, Y S Kim, H G Lee, C Lee
J Korean Pediatr Soc. 1990;33(4):559-563.   Published online April 30, 1990
We have recently experienced a case of Kleeblattschadel Syndrome in a 5 month old boy. The diagnosis was made by characteristic morphologic clinical features and radiologic findings. We report this case with brief review of some related literatures.
A case of Second Malignant Neoplasm Complicating Hodgkin's Disease in Remission.
Hong Hoe Koo, Jong Woon Choi, Sang Oh Na, Il Soo Ha, Hee Young Shin, Hyo Seop Ahn, Yeon Lim Suh, Chul Woo Kim, Je Geun Chi
J Korean Pediatr Soc. 1990;33(4):564-572.   Published online April 30, 1990
Recent advances in the treatment of cancer have resulted in increased survival and possible cure for many malignant disorders, particularly childhood cancers. There has been a marked improvement in the treatment of childhood Hodgkin’s disease, and five-year survival rates for even advanced stages of Hodgkin’s disease approach or exceed more than 75% with modern treatment policies. However, successful therapy in childhood cancer is frequently...
A case of Endobronchial Metastatic Malignant Melanoma.
Sang Hee Kim, Young Kyoo Shin, Kwang Chul Lee, Chang Sung Son, Pyung Hwa Choe
J Korean Pediatr Soc. 1990;33(4):573-578.   Published online April 30, 1990
Metastatic malignant melanoma is a rare neoplasm in child. We experienced a case of endobron- chial metastatic malignant melanoma developed in a 5 year-8month-old boy, who was admitted because of dyspnea and productive cough. Diagnosis was made by endobrochia 1 biopsy and histopathologic findings. He was treated with radiation as a palliative therapy. The result was good. Tumor size decreased and symptoms im- proved. The...
The Right of Ingeritance and Family Name of Embryo by Artificial Conception (48).
Gook Jin Moon
J Korean Pediatr Soc. 1990;33(4):579-579.   Published online April 30, 1990
Medical Common Sense
A Criteria for Calculation of Hospital Rate for the Health Insurance (48).
Chong Kil Lee
J Korean Pediatr Soc. 1990;33(4):580-581.   Published online April 30, 1990
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