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Volume 35(6); Jun 1992
Medical Lecture Course
Reappriasal of the Group A Beta Streptococcal Upper Respiratory Infection and Its Carrier -Relationship with Acute Rheumatuc Fever-
Sung-Ho Cha
J Korean Pediatr Soc. 1992;35(6):733-743.   Published online June 15, 1992
Original Articles
A Clinicopathological Study on Renal Biopsies in Children
Hun Choi, Dae Yeol Lee, Jung Soo Kim
J Korean Pediatr Soc. 1992;35(6):744-752.   Published online June 15, 1992
A clinical and histopathologic study was made oin 50 cases of renal biopies in children who admitted to chon buk national university hospital from December 1987 to July 1990. The result were as follows : 1) Among 50 cases, 35 cases were male and 15 cases female. The sex ratio of male to female was 2.3 : 1. The age distribution was...
Significance of Brain CT in Children with Chief Complaints of Neurological Symptoms and Signs of Intracranial Disorders
Chun Ho Cho, Chung Hyun Yoon, Young Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 1992;35(6):753-761.   Published online June 15, 1992
Because of its accuracy, rapidity as well as non-invasiveness, brain CT (computerized transaxial tomography)is being widely used as the most reliablel diagnostic approach for neurologic disorders in childhood. Brain CT provides good anatomic configuration of the brain and its gross disease processes that have as a manifestation alteration in brain density, disturbance in blood-brain barrior, or mass effect etc. We evaluated...
Statistical Observation for the Pediatric Patients in ICU
Ki Hun Eum, Chang Ho Hong, Young Mo Sohn, Chul Lee, Pyung Kil Kim
J Korean Pediatr Soc. 1992;35(6):762-768.   Published online June 15, 1992
A statistical study was performed on 221 ICU cared pediatric patients who were admitted to the department of pediatrics, Yonsei university college of medicine, Seoul, Korea from Apr. 1983 to Mar. 1991. The results were as follows : 1) Total number of subject were 221, it was 7.5% of total ICU patients and 1.3% fo total admitted pediatric patients. The male to...
Exercise Induced Delayed Bronchoconstriction in children with Asthma
Eun Jin Choi, Hyo Kung Shin, Un Ki Yoon, Ji Sub Oh
J Korean Pediatr Soc. 1992;35(6):769-775.   Published online June 15, 1992
This study was performed to investigate delayed bronchoconstriction in 17 extrinsic asthmatic children with exercise induced asthma. Pulmonary function was monitored by PEFR and FEV1 prior to exercise and serially for ten hours after about 8 minutes up and down stairs exercise. Delayed bronchoconstriction was noted in four of seventeen patients (23.5%) at 5∼9hours after exercise and % fall in PEFR...
The Perceptions and Attitudes of Parents and Medical Personnel Toward Fever of Children
Hyo Nam Cho, Jung-Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1992;35(6):776-787.   Published online June 15, 1992
Children commonly complain of suffering fever ; however, as studies have demonstrated, parents of a febrile infant or young child are inclined to become overly concerned. The pupose of this study was to investigate the perceptions and attitudes of medical personnel as well as parents. The parents of 189 children and 150 medical personnel (47 nurse-aides, 56 nurses, and 47 doctors)...
Clinical Observation on Reye syndrome According to the Onset of Age in Children
Kyung Hee Kim, Baik Hee Lee, Myung Ik Lee, Don Hee Ahn, Keun Chan Sohn
J Korean Pediatr Soc. 1992;35(6):788-794.   Published online June 15, 1992
A clinical observation according to the age of onset was made on 40 children with Reye syndrome who had been admitted to pediatric department of National Medical Center during 11 year period from January 1979 to December 1989. 1) Annual distribution showed the largest number in 1982. There was no significant difference in seasonal distribution. 2) Cases of infant comprised 22 (55.0%)...
Short-Term Results of Arterial Switch Operation for Transposition of Great Arteries
Yong Soo Yun, Yong Won Park, Chul Il Noh, Jung Yun Choi, Yong Jin Kim, Joon Ryang Rho, Kyung Pil Suh
J Korean Pediatr Soc. 1992;35(6):795-803.   Published online June 15, 1992
The operative results of 50 cases who underwent arterial switch operation from January, 1986 to March, 1991 were evaluated. The results were summarized as follows ; 1) Three main combined cardiac defects of ASO cases were PDA(60%), VSD(56%) and ASD(46%), and most common type of VSD was perimembranous(64.3%) and most frequent pattern of coronary artery was usual pattern of TGA (84%). 2)...
Case Reports
A Case of Neonatal Hypothyroidism due to Maternal TSH-Binding Inhibitor Immunoglobulin
Myung Lye Kim, Rhie Choi, Dong Hwan Lee, Sang Jhoo Lee
J Korean Pediatr Soc. 1992;35(6):804-808.   Published online June 15, 1992
Neonatal screening for congenital hypothroidism is important because of the possibility that mental retardation may be avoided if treatment started early. A 1 day old patient was admitted to our department of Pediatrics for congenital hypothyroidism screening. The mother was 33 years old and had been on thyroid replacement therapy since 32 years of age. During the pregnancy she was euthyroid...
A Case of Congenital Hypopituitarism Presenting Ectopic Pituitary Gland and Pituitary Stalk Transection Identified by Magnetic Resonance Imaging
Do Seong Kim, Kyung Eun Oh, Duk Hi Kim, Myung Joon Kim
J Korean Pediatr Soc. 1992;35(6):809-815.   Published online June 15, 1992
The syndrome of congenital hypopitutarism is a rare but well recognized entity. The typical clinical picture consists of presentation in infanncy with hypoglycemia, microgenitalia, and evidence of multiple anterior pituitary hormone deficiencies, but not diabetes inspidus. Recently, magnetic resonance imaging has disclosed a consistent abnormality in many patients with congenital hypopituitarism as well as idiopathic hypopituitarism characterized by an adenohypophysis...
A Case of Agenesis of the Right Lung with H-type Tracheoesophageal Fistula
Yong Seok Choi, Kyung Hee Kim, Young Chul Ahn, Baik Lin Eun, Kwang Je Beck
J Korean Pediatr Soc. 1992;35(6):816-821.   Published online June 15, 1992
Agenesis of the lung is a developmental defect with complete absence or profound hypoplasia of one or both lung : absence of one lung is more common. Absence of both lung is very rare and is incompatible with life. Unilateral or bilateral agenesis of the lung often associated with the skeletal, cardiovascular, gastrointestinal and genitourinary anomalies. H-type tracheoesophageal fistula in...
Two Cases of Doxorubicin-induced Dilated Cardiomyopathy
Jin Won Park, Kyeong Ah Lee, Yong Woon Paik, Hyun Kee Chung, Jae Sun Park
J Korean Pediatr Soc. 1992;35(6):822-828.   Published online June 15, 1992
Doxorubicin is an anthracycline antibiotic with a broad spectrum of activity in human neoplasms. However, this agent may cause, frequently, irreversible congestive left ventricular failure. We have experienced 2 cases of doxorubicin induced cardiomyopathy in one patient with multiple eosinophilic granuloma and another patient with T cell leukemia. Total dosage of doxorubicin was 295 mg/M2 for the 6 months duration and...
A Case of McKusick-Kaufman Syndrome
Han Joo Kong, Young Mi Jee, In Kyung Sung, Byung Churl Lee
J Korean Pediatr Soc. 1992;35(6):829-833.   Published online June 15, 1992
We experienced a case of Mckusick-Kaufman syndrome in a 14 day-old female neonate. She had hydrometrocolpos with vaginal atresia and polydactyly of feet associated with bilateral hydronephrosis and umbilical hernia. Hydronetrocolpos with vaginal atresia was corrected by abdominoperineal-vaginal pull through operation on 21st day of life. A brief review of related literatures was made.
A Case of Arthrogryposis Multiplex Congenita
Jong Min Lee, Su Min Kim, Hyung Kun Nam, Jin Sam No
J Korean Pediatr Soc. 1992;35(6):834-839.   Published online June 15, 1992
The simple definition of arthrogryposis is "a syndrome of persistent joint contractures present at birth" We have experienced a 4 days-old male baby who had multiple joint contractures with muslce atrophy. Diagnosis was arthrogryposis multiplex congenita and made by clinical finding. A brief review of the literature was made.
A Case of Ritter's Disease
Young Kul Lee, Eun Mi Kim, Dong Rak Choi, Hae Ran Lee, Chong Young Park
J Korean Pediatr Soc. 1992;35(6):840-844.   Published online June 15, 1992
Ritter's disease, or staphylococcal scalded skin syndrome, is a form of skin disease due to the exfoliative toxin, exfoliatin, produced by various species of staphylococci and is characterized by generalized bullae formation and exfoliation. The authors experienced a case of Ritter's disease in an 8 day-old newborn who had generalized bullae and skin exfoliation. Unfortunately, the patient expired on the 13th...
A case of Trisomy 8 mosaicism
Hong-Ro Lee, Byung-Geun Lee, Soo-Chul Cho, Dae Yeol Lee, Jung Soo Kim, So Ja Jin
J Korean Pediatr Soc. 1992;35(6):845-850.   Published online June 15, 1992
This paper presents clinical manifestations and result of cytogenetic examination of a patient with trisomy 8 mosaicism syndrome. Characteristic features include hypertelolism, deep set eyes, anteverted nose, narrow pelves, hypospadia, camptodactyly and deep skin crease and furrows. Karyotyping and chromosomal analysis revealed 47 XY, + 8 mosaicism. A brief review of literature was presented.
A Nonfamilial Case of Multiple Juvenile Polyposis
Jin Seop Shim, Sang Mook Choi, Eun Mi Kim, Jae Ock Park, Sang Jhoo Lee, Chan Sup Shim, Chul Moon
J Korean Pediatr Soc. 1992;35(6):851-861.   Published online June 15, 1992
Juvenile polyps are common and cause painless hematochezia in preschool and school-aged children. Juvenile polyps of the colon are usually solitary and considered to be inflammatory of hamatomatous in nature without malignant potential. Multiple juvenile polyposis is characterized by large numbers withch is spread to the colon or throughout the gastrointestinal tract. We experienced a nonfamilial multiple juvenile polyposis in a...
A Case of Necrotizing Enterocolitis Associated with Cow and Soy Milk Intolerance
Sang Soo Roh, Young Il Park, Sang Il Lee
J Korean Pediatr Soc. 1992;35(6):862-866.   Published online June 15, 1992
A case of necrotizing enterocolitis was associated with cow and soy milk intolerance in a term infant. The infant developed symptoms and radiologic findings-pneumatosis intestinalis and portal vein gas-after ingestion of cow and soy milk. Vomiting and diarrhea recurred with reintroduction of either cow or soy milk several times. The infant remained asymptomatic with a good growth rate on breast...
Acute Tubular Necrosis Associated with Typhoid Fever
Sung-Yoon Cho, Kyu-Young Lee, Sung-Ho Cha, Byoung-Soo Cho, Chang-Il Ahn, So-Yeon Yu, Mun-Ho Yang, Soon-Don Hong
J Korean Pediatr Soc. 1992;35(6):867-872.   Published online June 15, 1992
Acute tubular necrosis has been rarely reported in typhoid fever. We experienced a case of acute tubular necrosis due to typhoid fever in a 5 years old male patient. The patient showed significant titer of widal reaction associated with acute renal failure. Renal boipsy finding was compatible with acute tubular necrosis and immune complex was not deposited. Clinical and urinary...
A Case of Unilateral Absence of Pulmonary Artery
Joon Ho Bang, Sang Nyen Kim, Jong In Byun, Won Bae Lee, Byung Churl Lee, Kyong Su Lee, Sung Hoon Cho
J Korean Pediatr Soc. 1992;35(6):873-878.   Published online June 15, 1992
A Unilateral Absence of Pulmonary Artery(UAPA), which develops occasionally as one of the associated anomaly in congenital cardiovascular defect like as tetralogy of Fallot, is rare anomaly as an isolated congenital defect. We have recently experienced a case of UAPA in a 9 years old boy, which was diagnosed by perfusion scan, digital subtraction angiography. So we report this case...
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