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Volume 34(12); Dec 1991
Original Articles
Effects of sex hormone on secretion of growth hormone.
Bo Young Lee, Duk Hi Kim
J Korean Pediatr Soc. 1991;34(12):1621-1628.   Published online December 31, 1991
Sex honnone had been thought to influence in the serum level of growth honnone (GH) since 1944 year. After it became known that the exogenous administration of sex honnone to growth-retarded children increase serum GH level, sex honnone-especially testosterone-was thought to induce GH release. Testosterone is thought to act on the hypothalamo-pituitary axis to stimulate GH secretion and estradi이 is also thought...
Clinical and statistical observation for very low birth weight infants.
Sung Shin Park, Ji Hee Jung, Dong Hwan Lee, Sang Jhoo Lee
J Korean Pediatr Soc. 1991;34(12):1629-1640.   Published online December 31, 1991
We made clinical and statistical observation of 90 very low birth weight infants who were admitted at Soonchunhyang university hospital during the 6 years period from January 1985 through December 1990. The result obtained were as follows: 1) The incidence of very low birth weight infant during 6 years period was 0.68%, and the mortality rate was 488/1000 very low birth weight infants. 2) There was no obvious...
A study on the length of the human umbilical cord.
Min Hee Kim, Young Hyuk Lee, Kyo Sun Kim
J Korean Pediatr Soc. 1991;34(12):1641-1646.   Published online December 31, 1991
A short umbilical cord is defined as 35 cm or less, whereas a long cord is 80 cm or more. Short umbilical cords have been associated with a delay in the second stage of labor, irregular fetal heart tones, placental abruption, rupture of the umbilical cord, inversion of the uterus, birth asphyxia, umbilical hernia and long umbilical cord have been associated more frequently...
Body part identification in 1-to 5-year-old children.
Rhie Choi, Ju Seok Maeng, Dong Hwan Lee, Sang Jhoo Lee
J Korean Pediatr Soc. 1991;34(12):1647-1654.   Published online December 31, 1991
Until recently, minimal information on the development of body part identification in young children has been available although several developmental assessments include items that involve pointing to or naming body part. The purpose of this study was to examine the sequence in which body parts are learned and can be identified by very young children. The 360 children who 1-to 5-year-old were tested during the...
Blade atrial septostomy in infants with cyanotic congenital heart diseases.
In Sook Park, Young Hwue Kim, Chang Yee Hong
J Korean Pediatr Soc. 1991;34(12):1655-1663.   Published online December 31, 1991
In patients with certain types of congenital heart malformations, an adequate interatrial communi- cation is essential for survival and balloon atrial septostomy (BAS) is a life saving procedure in these infants. However, BAS alone is not successful in older infants and children with thickened atrial septum, and blade septostomy is indicated in these situations. This procedure so far has not been reported in Korean literature...
A comparative study of therapeutic effect of combined treatment with aspirin and intravenous gammaglobulin versus aspirin alone in Kawasaki disease.
Sang Bong Lee, Eui Tak Oh, Kang Youl Bae, Hong Ja Kang, Woo Sik Chung, Kil Soo Kim
J Korean Pediatr Soc. 1991;34(12):1664-1670.   Published online December 31, 1991
We compared the therapeutic effect of intravenous gamma globulin plus aspirin with that of aspirin alone in reducing the coronary aneurysms and changes of clinical courses in 57 children with Kawasaki disease who were admitted in Dae Dong hospital from Jul. 1987 to Jun. 1990 These 57 cases were divided into two groups: Group A:High dose aspirin (100 mg/kg/day) during febrile stage and then...
Congenital cystic diseases of the lung.
Won Soon Park, Young Pyo Chang, Hee Ju Kim, Young Yull Koh, Jung Hwan Choi, Chong Ku Yun, Joo Hyun Kim
J Korean Pediatr Soc. 1991;34(12):1671-1677.   Published online December 31, 1991
Congenital cystic diseases of the lung (CCDL) is a clinical group of disorders characterized by a cystic appearance of pulmonary tissue. It can be classified into four distinct categories: 1) Congenital lobar emphysema (CLE), 2) Congenital cystic adenomatoid malformation (CCAM), 3) Pulmonary sequeestration (PS), and ^Bronchogenic cyst (BC). 24 patients with CCDL admitted to the Seoul National University Children’s Hospital from January 1984 to June...
Saline reduction of intussusception under ultrasound guidance.
Min Hyea Kim, Jung Weon Seo, Sung Joo Lee
J Korean Pediatr Soc. 1991;34(12):1678-1682.   Published online December 31, 1991
Intussusception is the most common cause of acquired intestinal obstruction and requires emer- gency treatment. Recently, saline reduction under the ultrasound guidance has been successful as a diagnostic and therapeutic tool of intussusception. It is a simple, rapid, noninvasive, painless procedure without risk of radiation. We compared the result of saline reduction in 54 cases with that of barium reduction in 104 cases from January, 1988...
The effects of 1800 vGy cranial irradiation on intellectual function of children with acute lymphocytic leukemia.
Soo Ho Ahn, Jeong Ok Hah, Jung Hoon Lee
J Korean Pediatr Soc. 1991;34(12):1683-1688.   Published online December 31, 1991
This study was conducted to investigate the effects of CNS prophylaxis with 1800 cGy cranial irradiation and intrathecal methotrexate (MTX) chemotherapy on intellectual function of the chil- dren with acute lymphocytic leukemia (ALL). Thirteen longterm survivors with ALL who were treated with 1800 cGy cranial irradiation and intrathecal MTX for CNS prophylaxis at pediatric department of Yeungnam University Hospital from May, 1983 to November, 1988...
A clinical study on maxillary sinusitis in children with respiratory allergic disease.
Mi Young Yeo, Yong Tae Jung, Jae Ook Lee, Im Ju Kang
J Korean Pediatr Soc. 1991;34(12):1689-1698.   Published online December 31, 1991
A clinical and allergological evaluation was performed on 253 respiratory allegic children aged 3 to 15 who were taken Water’s view X-ray at Pediatric allergic clinic and in the ward from July 1986 to June 1990. The results were as follows; 1) Maxillary sinusitis was detected in 186 cases (73.5%) by Watr’s view X-ray in allergic asthma and rhinitis children. 2) There was no significant differences between blood...
Three cases of Watson-Alagille syndrome.
Eun Kyeong Bom, Dae Hyun Kim, Dong Hoon Koh, Young Youn Choi, Jae Sook Ma, Tae Ju Hwang
J Korean Pediatr Soc. 1991;34(12):1699-1706.   Published online December 31, 1991
Watson-Alagille syndrome is a kind of familial intrahepatic biliary atresia associated with charac- teristic face and cardiovascular anomaly. Growth and developmental delay, anomalies of the eyes such as posterior embryotoxon, deformities of the skeletal system are often the manifestations of this syndrome. We experienced three cases of Watson-Alagille syndrome recently. These patients showed charac- teristic faces and had peripheral pulmonary artery stenosis diagnosed by pulmonary...
A case of septo-optic dysplasia.
Su Kyung Kang, Sung Hee Kim, Myoung Jae Chey, Hak Soo Lee
J Korean Pediatr Soc. 1991;34(12):1707-1711.   Published online December 31, 1991
Septo-optic dysplasia, which was first described by de Morsier in 1956, is a rare developmental anomaly of anterior midline structures of brain, combining agenesis of the septum pellucidum and hypoplasia of the optic nerves, chiasm, and infundibulum. It is considered a form of holoprosence- phaly. It is a common cause of hypopituitarism in children, and the pituitary hormone most commonly affected is growth hormone, but...
A case of holoprosencephaly.
Jin Eun Hyun, Eun Hee Park, Hee Young Jeon, Whwa Jin Byeun, Young Mok Hwang, Yeon Jin Kim, Cheol Soo Kim
J Korean Pediatr Soc. 1991;34(12):1712-1716.   Published online December 31, 1991
Holoprosencephaly is a congenital malformation complex involving developmental failure in normal cleavage of the forebrain into hemispheres and varying degrees of median facial deformities. We experienced a case of lobar holoprosencephaly in a one day old girl who showed median facial deformities and reviewed the references concerning holoprosencephaly briefly.
A case of type VI Ehlers-Danlos syndrome.
Ki Soo Pai, Young Mi Chung, Ran Namgung, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1991;34(12):1717-1723.   Published online December 31, 1991
Ehlers-Danlos syndrome is an inherited hetergenous disorder of connective tissue with characteris- tic clinical manifestations. In this article, a case of Ehlers-Danlos syndrome is presented. A nine months old female was admitted due to developmental delay. On physical examination, she had soft velvety skin and corneal opacity. Both hip joints were positive for Barlow test. There was hyper- mobility of both knee and elbow...
A case of malignant atrophic papulosis (Degos' disease).
Sung Ku Lee, In Seok Lim, Chul Ha Kim, Dong Keun Lee, Eung Sang Choi, Byoung Hoon Yoo, Gae Yong Song
J Korean Pediatr Soc. 1991;34(12):1724-1729.   Published online December 31, 1991
Malignant atrophic papulosis (Degos’ disease) is characterized by porcelain-white skin lesions. It has unknown etiology and bad prognosis. Death usually occurs from multiple intestinal perforations weeks to years after onset. We experienced a case of Degos’ disease in a 12-year-old male patient who had porcelain white papules on face, trunk and extremities. Histopathologic studies showed broad epidermal necrobiosis with thrombotic arteriolar occlusion. A brief review of...
A case of acute megakaryoblastic leukemia with Down syndrome.
Sung Jin Chang, Sung Min Sohn, Heung Sik Kim, Chin Moo Kang, Dong Seok Jeon
J Korean Pediatr Soc. 1991;34(12):1730-1735.   Published online December 31, 1991
We experienced a case of acute megakaryoblastic leukemia (M7) with Down syndrome. The patient was admitted due to premature SGA, which revealed characteristic facial figure of Down syndrome. M7 was diagnosed with PB smear which showed abundant megakaryoblast and confirmed by using the monoclonal antiplatelet glycoprotein IIb/IIIa antibody (J 15). On 25th hospital day, the patient gained weight but discharged without further treatment of M7. Authors...
A case of 13-ring chromosome syndrome.
Jong Soo Lee, Yong Tae Jung, Byung Hak Lim, Im Ju Kang
J Korean Pediatr Soc. 1991;34(12):1736-1739.   Published online December 31, 1991
We have experienced a case of 13-ring chromosome syndrome in 9 month old girl who had microcephaly, trigonocephaly, hypertelorism, microophthalmia, broad prominent nasal bridge, high arched palate & speech defect. On X-ray study, brain computerized tomograpy showed Dandy-Walker variant. Chromosome study revealed 13-ring chromosome. Her mother had mild mental retardation, short stature, microcephaly, trigonocephaly, hypertelorism and micrognathia. A brief review of the literatures was also...
A case of transient myeloproliferative disorder in Down's syndrome.
Dong Uk Kim, Woo Ki Lee, Eung Won Park, Kwang Woo Kim
J Korean Pediatr Soc. 1991;34(12):1740-1744.   Published online December 31, 1991
Transient myeloproliferative disorder has been reported in infants with Down’s syndrome. This disorder is clinically and hematologically indistinguishable from congenital leukemia. In contrast to congenital leukemia, complete clinical and hematological recovery occurs within weeks to months of diagnosis without antileukemic treatment. We experienced a case of Transient myeloproliferative disorder with Down’s syndrome. This 4-day-old female neonate showed jaundice, hepatomegaly, fever, dyspnea, mongoloid face and congenital heart...
A case of benign recurrent intrahepatic cholestasis.
Jae Hong Park, Sung Sub Sim, Soo Young Kim, Hee Joo Jeon, Chan Yung Kim
J Korean Pediatr Soc. 1991;34(12):1745-1752.   Published online December 31, 1991
The clinical picture of beingn recurrent intrahepatic cholestasis (BRIC) consists of multiple epi- sodes of cholestatic jaundice without extrahepatic bile duct obstruction. Since first description by Summerskill and Walshe in 1959, almost 100 patients with BRIC have been described. The mechanism involved in the initiation and perpetution of an episode of cholestasis are unknown. Altered bile acid metabolism has been proposed to play a...
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