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Volume 36(10); Oct 1993
Medical Lecture Course
Rota virus
J Korean Pediatr Soc. 1993;36(10):1339-1342.   Published online October 15, 1993
Original Articles
Comparative Value of Cardiac MRI and Echocardiography in the Assessment of Congenital Heart Lesions
Young-Hwue Kim, #NAME? Park, Chang-Yee Hong, Shi-Joon Yoo, Tae-Hwan Lim
J Korean Pediatr Soc. 1993;36(10):1343-1350.   Published online October 15, 1993
To examine the usefulness of cardiac MRI in assessing patients (pt) with congenital heart diseases (CHD), informations obtained from MRI and echocardiogrphy (echo) were compared in 91 consecutive pt with CHD and was correlated with findings at cardiac catheterization(53pt) and at surgery (71pt). Pt were studied with 1.5Tesla MRI unit and multiplanar images of the heart and great vessels were...
Growth Pattern and Final Height in Congeital Adrenal Hyperplasia
Ho Seong Kim, Duk Hi Kim
J Korean Pediatr Soc. 1993;36(10):1359-1365.   Published online October 15, 1993
Clinical characteristics and growth pattern were evaluated in 42 patients with classical congenital adrenal hyperplasia treated since diagnosis. And final height was evaluated in 16 patients who had reached final adult height with regard to clinical form, degree of hormonal control, and age of initial treatment. The results were as follows; 1) Among 42 patients with classical congenital adrenal hyperplasia, the male...
A Clinical Study on Wheezing of Mycoplasma Pneumoniae Pneumonia in Children
Jeong Eun Kwon, Jun Ho Yoon, Jae Ook Lee, Im Ju Kang
J Korean Pediatr Soc. 1993;36(10):1366-1374.   Published online October 15, 1993
The relationship between respiratory infections and exacerbations of wheezing in patients with wheezy bronchitis or asthma has been described. Most respiratory infections were viral or Mycoplasma pneumoniae. This study was performed to evaluate the effect of Mycoplasma pneumoniae infection on bronchial reactivity and atopic background. 106 patients with Mycoplasma pneumoniae pneumonia who were admitted to the department of pediatrics, Fatima Hospital,...
Arterial Blood Gas Analysis in Asthmatic Children
Dae Young Choi, Kyeong Cheol Yoon, Kang Woo Park, Sung Won Kim
J Korean Pediatr Soc. 1993;36(10):1375-1382.   Published online October 15, 1993
The purpose of this study is to verify severity of asthma in asthmatic patients through the arterial blood gas analysis. Subjects were consisted of 103 patients (74 boys and 29 girls), between 2~13 years of ages. Clinically, asthmatic patients were classified into 6 groups, i.e., group 0(no rhonchi), group 1(rhonchi only), group 2(mild attack), group 3(moderate attack), group 4(severe attack), group...
Cow Milk Allergy in Infant Who Neonatal Onset
Seung Hee Park, Myung Ik Lee, Don Hee Ahn, Seung Hee Park
J Korean Pediatr Soc. 1993;36(10):1383-1388.   Published online October 15, 1993
Cow milk allergy can be defined as an adverse immunologic reactions to cow milk protein. The term is often mistakenly applied to other causes of milk intolerence, such as lactase deficiency and galactosemia, which must be differenciated and excluded. We have experienced 10 children of cow milk allergy at neonatal onset who had suffered from G-I symtons, such as diarrhea, irritability,...
A Clinical Study on Prematurity Who received Blood Transfusion
Chul Soon Park, Myung Ik Lee, Soon Wha Kim, Don Hee Ahn
J Korean Pediatr Soc. 1993;36(10):1389-1394.   Published online October 15, 1993
A clinical study was made on 85 cases of prematurity under 37 weeks of gestational age who had history of blood transfusion during their admission at the National Medical Center from January 1989 to June 1992. The results were as follows: 1) Among 339 prematurity patients, 85 patients (25.1%) received blood transfusion once at least. 2) Male to female ration was 1.13:1 and...
Nephrotic Syndrome under 2 Years of Age
Jae Sung Ko, Kang Mo Ahn, Hye Won Park, Il Soo Ha, Hae Il Cheong, Yong Choi, Kwang Wook Ko
J Korean Pediatr Soc. 1993;36(10):1395-1401.   Published online October 15, 1993
There had been total 20 patients with early onset (4 months~2 years) primary nephrotic syndrome in the Deparment of Pediatrics, Seoul National University Children's Hospital, during the period from March 1987 to February 1993. We analysed clinical courses, response to treatment, pathological findings and prognosis of the patients And the results were as follows; 1) The initial responders to steroid treatment...
Renal Scarring in Relation to Vesicoureternal Reflux in Uriary Tract Infection
Kwang Sun Han, Dong Jin Choi, Sung Ho Cha, Byoung Soo Cho, Young Tae Ko, Sun Wha Lee
J Korean Pediatr Soc. 1993;36(10):1402-1406.   Published online October 15, 1993
The vesicoureteral reflux (VUR) is frequently found among the patients with urinary tract infection (UIT) and some patients with VUR progress to reflux nephropathy. The presence of scarring at UIT is an important determinant in the selection of those at risk of progressive damage. 99m Technetium dimercaptosuccinic acid (99mTc-DMSA) is a renal scanning agent provides a good quality of renal image...
A Clinical Study on Infants of Diabetic Mothers
Gyeong Choe, Young Kwon Choi, Young Youn Choi, Tai Ju Hwang
J Korean Pediatr Soc. 1993;36(10):1407-1416.   Published online October 15, 1993
Thirty one infants of diabetic mothers(IDM) who had been admitted in Neonatal Intensive Care Unit at Chonnam University Hospital from January 1987 to July 1991 were studied for evaluation of their perinatal outcome and prognosis. The results were as follws; 1) The distribution of diabetic mothers according to modified White뭩 classification was GD & class A in 12 cases (38.7%), B in...
A Clinical Study of Histiocytosis Syndrome
Hye Yong Lee, Chul Hee Chung, Won Suk Suh, Sang Mann Shin, Sang Jhoo Lee
J Korean Pediatr Soc. 1993;36(10):1417-1425.   Published online October 15, 1993
We made a clinical study on 10 cases of histiocytosis syndrome who had been admitted to the pediatric department of Soon Chun Hyang University Hospital from Jan 1982 to Dec. 1991. The results were obtained as follows 1) The sex incidence revealed male predominance with the ratio 4:1. 2) Among 10 cases, 4 cases were classified as eosinophilic granuloma, 1 case as Letterer-Siwe...
Comparison of Anticancer Drug Efficacy Using the Short-Term Microplate Culture and MTT Dye Reduction Assa
Nam Ki Kim, Kwang Rae Lee, Pyoung Han Hwang, Jung Soo Kim
J Korean Pediatr Soc. 1993;36(10):1426-1433.   Published online October 15, 1993
Individual tumors, even those of the same histologic type, show varying sensitivity to specific cytotoxic agent. Therefore, sensitivity testing assume an increasingly important as an orientational aid in planning chemotherapy. In the past decade there have been many attempts to develop a chemosensitivity test that would predict the clinical effectiveness of various chemosherapeutic agents against human neoplasms. In the United States...
Plasma Immunoreactive Endothlin-1, Creatine Kinase and CK Isoenzyme and Its Relation to Neonate with-Asphyxia
Kang Woo Lee, Kee Hyoung Lee, Chang Sung Son, Young Chang Tockgo
J Korean Pediatr Soc. 1993;36(10):1434-1440.   Published online October 15, 1993
Endotheline-1(ET-1) is a potent vasoconstrictor peptide with 21 amino acid residues. ET-1 is thought to have a key role in vasoconstriction, and cardiac, renal, and endocrine actions of the peptide. Creatine Kinase(CK), also referred to as ATP-creatine-N-phosphotransferase, consists of either the B or M type. CK is found almost exclusively in muscle (MM), myocardium (MB), and brain (BB). It is...
Case Reports
One Case of Bronchiolitis Obliterans Associated with Stevens-Johnson Syndrome due to Mycoplasma pneumoniae In fection
Soo Kyung Lee, Joon Soo Lee, Soo Young Lee, Byung Ju Jeoung, Kyu Earn Kim, Ki Young Lee
J Korean Pediatr Soc. 1993;36(10):1441-1446.   Published online October 15, 1993
Bronchiolitis obliterans is an infrequent disorder characterized by partial or complete obstruction of bronchi and bronchioles by fibrous tissue following an insult to the lower respiratory tract. In the pediatric population, Bronchiolitis obliterans has most frequently been preceded by respiratory tract infection by adenovirus, influenza, measles. But it may occur in young adults after mycoplasma infection. We experienced the case...
A Case of Roberts Syndrome
Young Choi, Yo Han Chung, In Seok Lim, Chul Ha Kim, Dong Keun Lee, Seong Nam Kim, Sang Yong Song, Je Geun Chi
J Korean Pediatr Soc. 1993;36(10):1447-1451.   Published online October 15, 1993
Roberts syndrome is an autosomal recessive disorder accompanied by limb defects, craniofacial abnormalities, pre-and postnatal growth retardation. Patients with Roberts syndrome have characteristic premature separation of heterochromatin of many chromosomes and abnormalties in celldivision cycle. We have experienced a case of Roberts syndrome in an immature neonate. The patients showed characteristic clinical features of multiple encephaloceles. Severe facial mid-line clefts, and...
A Case of Primary Pulmonary Hypertension
Sang Woo Lew, Hae Yong Lee, Hwang Min Kim, Jae Seung Yang, Jong Soo Kim
J Korean Pediatr Soc. 1993;36(10):1452-1457.   Published online October 15, 1993
We have experienced a 14 year old female patient who had suffered from headache, dizziness, exertional dyspnea and chest pain during 6 months. She was diagnosed as primary pulmonary hypertension by ultrasonogram and cardiac catheterization. On the cardiac catheterization, there was elevated pulmonary artery pressure and normal pulmonary wedge pressure. We report this case with related literature review.
Two Cases of Virus Associated Hemophagocytic Syndrome
Jae Hee Han, Hyun Chul Lee, Hwang Min Kim, Jong Soo Kim, Kyung Won Lee
J Korean Pediatr Soc. 1993;36(10):1458-1465.   Published online October 15, 1993
Virus associated hemophagocytic syndrome, class II histiocytoses, characterized by high fever, severe constitutional symptoms, abnormal liver function and coagulation, peripheral blood pancytopenia and histiocytic hyperplasis with prominent hemophagocytosis in bone marrow and lymph nodes has been reported and associated with active viral infection. It is non-malignant and reversible. It must be differentiated from histiocytic medullary reticuosis because of the inappropriateness...
Two Cases of Multiple Brain Abscess Associated with Bacterial Meninitis in Neonate
Jin Jea Kim, Heung Keun Oh, Hyun Sung Park, Chang Ok Soh, Jin Young Jung
J Korean Pediatr Soc. 1993;36(10):1466-1470.   Published online October 15, 1993
We experienced mutiple brain abscess in two neonates. Diagnosis was made brain CT scan, which revealed multiple ring-like enhancing leason in both frontoparietal and left posterior parietal cerebral parenchyme. Therapy was consisted of systemic antibiotic treatment and CSF V-P shunt operation due to complicated hydrocephalus. One neonate was died and the other neonate has been followed up due to...
Original Articles
Dermatophagoides Farinae Specific IgG-Subclass Antibody in Allergic Children
Young Mi Hong, Kyung Hyo Kim, Eun Ae Park, Gyoung Hee Kim
J Korean Pediatr Soc. 1993;36(10):1651-1358.   Published online October 15, 1993
For determining the distribution of specific IgE and IgG-subclass antibodies and their role in allergic disorders, we measured the serum levels of specific IgG-subclass and IgE antibodies to Dermatophagoides farinae(Df) on 60 atopic children, aged between 8 to 12. All of them had positive skin test to Df, and was grouped into three: children with asthma only (group 1), with...
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