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Volume 35(9); Sep 1992
New Insights on Alport Syndrome
Hae Il Cheong
J Korean Pediatr Soc. 1992;35(9):1173-1182.   Published online September 15, 1992
Original Articles
Production and Characterization of Monoclonal Antibodies to Perchloric Acid Extract Antigen of M. bovis BCG(BCG Ⅱ)
Kyung Hyo Kim, Dong Soo Kim, Jeon Soo Shin
J Korean Pediatr Soc. 1992;35(9):1183-1192.   Published online September 15, 1992
Mycobacteria causes disease which occur over the world. The development of reliable serological teset for the diagnosis of tuberculosis in humans has been complicated by the large degree of cross reactivitiy between antigens of Mycobacteria species can be used as a tool for serodiagnosis of tuberculosis. Fourteen monoclonal antibodies to perchloric acid extract antigen of M. bovis BCG were produced....
Postnatal change of Atrial natriuretic peptide in newborn Infants
Eun Sook Kim, Heng Mi Kim
J Korean Pediatr Soc. 1992;35(9):1193-1197.   Published online September 15, 1992
Atrial natriuretic peptide(ANP)has been described as a part of the regulatory system of volume homeostasis. The role of ANP in postnatal volume hmestasis was investigated in 27 normal newborn infants during the early postnatal period. Plasma Mean plasma concentration of plasma ANP was 24.7¡¾13.8 pg/13.8pg/ml on the 1st day, 56.2¡¾60.0pg/ml on the 3-5th day and 35.0¡¾22.0pg/ml on the 7th day....
Acute Renal Failure Following Cardiac Surgery
Kang Yong Park, Yeon Ho Choi, Tae Sun Ha, Il Soo Ha, Hae Il Cheong, Yong Choi, Kwang Wook Ko, Joon Ryang Rho
J Korean Pediatr Soc. 1992;35(9):1198-1209.   Published online September 15, 1992
A retrospective study of 452 patients who undertook cardiac surgery was performed to determine the pevalence, etiology, and clinical features of postoperative acute renal failure(ARF). The overall incidence of ARF following cardiac surgery was 4.65%(21/452). The incidence of ARF following open heart surgery(OHS) was 5.11%, and that following closed heart surgery was 2.50%. Preoperactive risk factors noted in the development...
A Clinical Study of Primay Gastrointestinal Lymphoma in Childhood
Hye Jung Joo, Chuhl-Joo Lyu, Byung Soo Kim, Euy Ho Hwang, Chang Ok Suh, Woo Ick Yang, Woo Hee Chung
J Korean Pediatr Soc. 1992;35(9):1210-1219.   Published online September 15, 1992
The 18 cases of primary gastrointestinal lymphoma patients admitted to the Department of Pediatrics and Yonsei Cancer Center, College of Medicine, Yonsei University, during 15 years from January, 1975 to December, 1989 were reviewed on the bases of clinical characteristics, treatment, and survival rates. The results were summarized as follows; 1) The age of patients ranged from 3 years to 14 years,...
Clinical Features of Twelve Coxiellemia Pediatric Patients in Korea
Chuhl-Joo Lyu, Dong Soo Kim, Young Mo Sohn, Ki Sup Chung, Kir-Young Kim, Won Young Lee
J Korean Pediatr Soc. 1992;35(9):1220-1225.   Published online September 15, 1992
Coxiella burnetii is a rickettsial organism and extremely infectious for humans animals. The infection caused by this organism is endemic throughout the world. Although it has not been reported in Korea because of the nonspecific clinical manifestations, the difficulties in diagnosis, and the underestimate of this disease. Update this infection has been misdiagnosed as other disease. We experienced twelve cases of...
Infantile Asthma and Egg Allergy
Sung Hee Lim, Hye Sun Lee, Young Min Ahn
J Korean Pediatr Soc. 1992;35(9):1226-1235.   Published online September 15, 1992
Egg is known to be the most common food allergen, which induces various symptoms such as atopic dermatitis, bronchial asthma, urticaria, angioedema, gastrointestinal symproms & anaphylaxis, especially during infancy. To evaluate the clinical course & significance of egg allergy in infantile asthma, we performed diagnostic study on 44 patients who were diagnosed as infantile asthma in our hospital from 1988 to...
Children with Delayed Speech Development
Keun Lee
J Korean Pediatr Soc. 1992;35(9):1236-1242.   Published online September 15, 1992
Language disorder is one of the most common developmental disorder, its prevalence being 3~20% according to various reports. Delayed speech development is frequently associated with other type of developmental disorder and, if left untreated, can lead to learning difficulty or school failure. Etiologies of delayed speech development are infantile autism, mental retardation, developmental language disorder, hearing defect, emotional disorder or poor...
Children with Delayed Speech Development
Sang Kee Park, Ho Sung Yoo, Yeong Bong Park
J Korean Pediatr Soc. 1992;35(9):1236-1242.   Published online September 15, 1992
The antioxidant enzymes superoxide dismutase, catalase and glutathione peroxidase and the lipid peroxidation were assayed in erythroctyes from the cord blood of 25 fullterm newborn infants and their maternal blood abtained immediatedly after normal delivery. Superoxide dismutase and catalase activites in cor blood erythroctytes were significantly lower when compared with their mothers, but glutathione peroxidase activities were not significantly lower....
Case Reports
Three Cases of Post-transfusion Hepatitis C
Kyung Un No, Ho Seong Kim, Ji Won Choi, Dong Wook Kim, Cheol Ho Jang, Beom Su Park, Jeong Kee Seo, Gyeong Hoon Kang, Je Geun Chi
J Korean Pediatr Soc. 1992;35(9):1255-1262.   Published online September 15, 1992
Hepatitis C virus has been known to be the main cause of post-transfusion non-A, non-B hepatitis. The authors experienced three cases of hepatitis C. All were associated with blood transfusions. They had no specific symptoms, and the levels of aminotransferases were markedly elevated and showed severe fluctuations in two cases. Anti-HCV tested two or three times were all positive, and...
A Case of Kugelberg-Welander Syndrome
Sun Young Lee, Myung Ik Lee, Soon Wha Kim, Don Hee Ahn, Je Geun Chi
J Korean Pediatr Soc. 1992;35(9):1263-1266.   Published online September 15, 1992
We have experienced a 6 year-old female patient who had suffered from progressive muscular atrophy with weakness and loss of voluntary motor action since 3 years of age. She was diagnosed as Kugelberg-Welander syndrome by EMG and muscle bio. Multiple polyphasic motor unit potentials were revealed on EMG and grouped muscle atrophy without fibrosis or degenerative change was found on...
Rhinocerebral Mucormycosis : A case Report
Kyuchul Choeh, Hae Jin Choeh, Jung Hae Park, Chong Sung Chung, Won Sil Huh, Hyun Sook Chi
J Korean Pediatr Soc. 1992;35(9):1267-1271.   Published online September 15, 1992
We experienced a case of rhinocerebral form of mucormycosis in a 9-year-old male suffered from acute lymphocytic leukemia(FAB L2). On 15th day of induction chemotherapy(Hospital day 23) pain, tenderness and swelling on left maxillary sinus. He expired on Hospital day 47.
Acquired Persistent Cytomegalovirus Infection : An Association with Common Variable Immunodeficiency
Min Hyea Kim, Young Mi Hong, Sung Joo Lee, Je Geun Chi, Dong Soo Kim
J Korean Pediatr Soc. 1992;35(9):1272-1279.   Published online September 15, 1992
Acquired persistent cytomegalovirus infection was diagnosed by anti CMV antibody and lymph node biopsy and persisted in a 3-year-old boy with recurrent episode of high fever, lymphadenopathy hepatosplenomegaly and pneumonia. Initial immunologic abnormalities including low serum IgG, high IgM decreased T4 and T4/T8 ratio finally progressed to immunologic paralysis which was compatible to common variable immunodeficiency. This is the first case which...
Two Cases of Porencephalic Cyst
Kuk Shin Jang, Mee Kyung Jang, Young Chul han, Dong Guy Jang, Chul Zoo Jun
J Korean Pediatr Soc. 1992;35(9):1280-1285.   Published online September 15, 1992
We experienced two cases of porencephaly in a 1 year old male and an 8 years old femalo were suffered from right hemiparesis and convulsion. Brain CAT confirmed the diagnosis of porecephalic cyst. We report these cases with brief review of some related literatures.
A Case of Lead Poisoning
Mee Kyung Jang, Kuk Sin Jang, Young Chul Han, Dong Gui Jang, Chul Ju Jung
J Korean Pediatr Soc. 1992;35(9):1286-1290.   Published online September 15, 1992
The lead poisoning has been increasingly recongized in Korea The sources of lead poisoning are several ones such as from occupation, painting house, ccsmetics, diet, abnormal habits(Pica), occasionally herb medicine in Korea. Recently, we experienced a case of lead poisoning, in a 19-month-old female who ered from vomiting and acute abdominal pain. Clinical aspects, laboratory test, hematological and special biochemical tests were...
A Case of Intestinal Necrosis Associated with Henoch-Schönlein Purpura
Soo Jung Lee, Young Yoo Kim, Sung Soo Whang, Kyung Yil Lee, Won Ik Lee, Jeong Soo Kim, Chang Joon Ahn, Mi Kyung Jee
J Korean Pediatr Soc. 1992;35(9):1291-1297.   Published online September 15, 1992
Gastrointestinal symptoms of Henoch-Schönlein commonly present abdominal pain, nausea, nomitting, melena and hematemesis and resolve mostly without any complications. Some times life threatening gastrointestinal manifestations such as massive hemorrhage, intussusception, intestinal necrosis and perforation may develop We report a case of the Henoch-Schönlein purpura with intestinal lesion in 11 year female patient who presented with colicky abdominal pain and bloody stool...
Primay Endodermal Sinus Tumor of the Common Bile Duct
Kyeong Hee Cho, Se Jung Sohn, Kil Hyun Kim, Hak Soo Lee
J Korean Pediatr Soc. 1992;35(9):1298-1302.   Published online September 15, 1992
The endodermal sinus tumors are rare and highly malignant germ cell origin tumors occuring in both gonadal and extragonadal tissue. We have experienced a case of endodermal sinus tumor mixed with benign teratoma occuring in the common bile duct. It is a very rare site for endodermal sinus tumor. Serum α-fetoprotein was well correlated with clinical course.
A Case of Right Pulmonary Artery Arising from Ascending Aorta
Chan Uhng Joo, Nam Ki Kim, Ja Hong Kuk, Doing Geun Lee
J Korean Pediatr Soc. 1992;35(9):1303-1306.   Published online September 15, 1992
The anomaly consisting of one pulmonary artery arising from the ascending aorta while the other originates normally from the right ventricle is a rare congenital malformation. Early surgery is desirable to prevent pulmonary vascular obstructive disease. The autoors experienced a patient of right pulmonary artery arising from ascending aorta who had severe respiratory distress. Echocardiographic study and autopsy findings showed anomalous...
A Case of Ulcerative Colitis
Byung Mun Lee, Se Ook Oh, Se Chang Ham, Hee Ju Park, Hee Ju Park, Chan Tung Kim
J Korean Pediatr Soc. 1992;35(9):1307-1313.   Published online September 15, 1992
The authors experienced a case of ulcerative colitis in a 15 year old girl. She was admitted to our department because of recurrent bloody mucous diarrhea, lower abdominal cramps and anorexia for 3 year. The diagnosis was established by clinical feature, radiological, endoscopic and histologic findings. The patient had an initial improvement after taking combined medication as sulfasalzine and prednisolone, followed...
Two Cases of Alport Syndrome Developed in Sister
J Korean Pediatr Soc. 1992;35(9):1314-1318.   Published online September 15, 1992
The moderate sensory neural hearing loss and decreased visual acuity were accompanied in a 15 year old girl with chronic renal failure, and so we suspected Alport syndrome. In Family study, her younger sister of 12 years old had shown persistent hematuria from 2 years ago and mild hearing loss. HTe ultrasound-guided percutaneous renal biopsy was performed in younger sister...
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