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Volume 37(6); Jun 1994
Medical Lecture Course
Role of Cytokines in Allergic Diseases
Bok Yang Pyun
J Korean Pediatr Soc. 1994;37(6):735-740.   Published online June 15, 1994
Original Articles
Risk Factors for Hyperglycemia in Children with Leukemia Receiving L-asparaginase
Min Joong Kwon, Ho Sung Kim, Kir Young Kim, Duk Hi Kim
J Korean Pediatr Soc. 1994;37(6):740-745.   Published online June 15, 1994
Hyperglycemia is a well-recognized side effect of L-asparaginase in remission induction therapy of acute lymphocytic leukemia. Since hyperglycemia has preceded fatal diabetic ketoacidosis or hyperosmotic nonketotic coma in some patients, early detection and treatment of this complication are important. We determined retrospectively the risk of hyperglycemia in 117 patients with leukemia who had received L-asparaginase (& prednisolone). The results were as...
Evaluation of Fever Reducing Methods in Children
Soo Young Lim, Hwa Jeong Lee, Seung Hee Mok, Heui Jeong Kwon, In Sil Lee
J Korean Pediatr Soc. 1994;37(6):746-751.   Published online June 15, 1994
The efficacy of acetaminophen, sponging plus acetaminophen, and sponging alone as method of lowering body temperature was compared in 108 children aged 8 weeks to 5 years who presented with an axillary temperature of 38.5C or greater during the period from January 1993 to April 1993. The following results were obtained. 1) The male to female ratio was 2.5:1 and clinical diagnosis...
Cricopharyngeal Incoordination in Infancy
Yong Joo Kim, Jeong Kee Seo
J Korean Pediatr Soc. 1994;37(6):752-758.   Published online June 15, 1994
Cricopharyngeal incoordination of infancy is a rare disease, characterized by difficult swallowing soon after birth. Regurgitation, frequent choking and aspiration with deglutition, recurrent aspiration pneumonia, and to-and-fro movement of the contrast medium in the posterior pharynx on upper esophageal cineroentgenography. Clinical investigation was performed in the infants who were admitted due to difficult swallowing, reguritation, and recurrent pneumonia from March 1,...
Serial M-mode Echocardiographic Assessment of Left Ventricular Function in Kawasaki Disease
Byung Ho Choi, Jin Kyung Kim, Myung Chul Hyun, Sang Bum Lee
J Korean Pediatr Soc. 1994;37(6):759-766.   Published online June 15, 1994
To investigate the effect of kawasaki disease on left ventricular function, we studied 92 patients with Kawasaki disease at initial visit, after 3 months (78 patients) and after 1 year (9 patients). Using serial M-mode echocardiogram, we obtained LVD(d) (left ventricular internal dimension at end diastole), LVD(s)(left ventricular internal dimension at end systole), FS(fractional shortening), ET(ejection time), VmCF(mean velocity of circumferential...
A Clinical Study on Chronic Hepatitis b in the Children
Bon Su Koo, Han Sang Joo, Yung Tak Lim, Hee Ju Park
J Korean Pediatr Soc. 1994;37(6):767-775.   Published online June 15, 1994
The author observed clinical study and response of -interferon treatment of 43 cases of chronic hepatitis who were admitted to Department of Pediatrics Pusan National University College of Medicine during the period of 4 year 6 months from Jenuary, 1988 to Jun, 1992. The results were as follows: 1) Of 43 patients with chronic hepatitis CPH was 17 cases (39.5%) and CAH...
Intraventricular Hemorrhage in Full-Term Neonate
Myoung Bae Jeon, Kook In Park, Choon Sik Yoon, Ran Namgung, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1994;37(6):776-785.   Published online June 15, 1994
Intraventricular hemorrhage is a common hemorrhagic cerebral disorder in premature, but occurs much less frequently in the full-term newborn. In order to obtain documentation of clinical and ultrasonographic characteristics of intraventricular hemorrhage in full-term, we performed cerebral ultrasonography on 602 newborn infants who had been admitted to neonatal intensive care unit at the Deppartment of Pediatrics, Yonsei University College of...
Clinical Studies on Risk Facotrs of Recurrnces after first Febrile Convulsions in Infancies and Early Childhood
Hee Kyung Chun, Hyun Ki Joo, Mi Soo Ahn, Ji Sub Oh
J Korean Pediatr Soc. 1994;37(6):786-793.   Published online June 15, 1994
The aim of this study was to evaluate the risk factors of recurrences after their first febrile convulsions in infants and young children. Dlinical studies were made on 187 cases of febrile convulsions who were admitted to the department of pediatrics of Wallace Memorial Baptist Hospital from March, 1990 to December, 1992 1) 63 cases of 187 cases had recurrences after their...
Clinical Study on Chronic Granulomatous Disease (CGD) -Occurrence in Siblings-
Yong Hoon Jun, Sung Won Yang, Dong Wook Kim, Hoan Jong Lee, Joong Gon Kim
J Korean Pediatr Soc. 1994;37(6):794-803.   Published online June 15, 1994
To analyse the age of onset, etiologic microorgnisms, clinical manifestations, managements and genetic variation of chronic granulomatous disease, the authors reviewed four patients who were diagnosed as CGD at Department of Pediatrics, Seoul National Univesity Children's Hospital. They were siblings in relationship-two of them were brothers, the others wete brother-sister. The results were as follows; 1) Initial manifestations developed within 1...
Prevalence of Epstein-Barr Virus (EBV) Antibody in Korean Children
Sei Ho Oh, Young Ah Lee, Woong Young Moon, Tae Sun Won, Young Seo Park, Hyung Nam Moon, Chang Yee Hong, Dae Won Kim
J Korean Pediatr Soc. 1994;37(6):804-811.   Published online June 15, 1994
Recently, cases with typical clinical manifestations of infectious mononucleosis are increasing in Korea. So, to evaluate the recent epidemiology of EBV infection in Korea, we performed EBV serologic antibody tests for IgG antibody to EBV-viral capsid antigen (VCA) and antibody to EBV-associated nuclear antigen (EBNA) among the 108 healthy Korean infants and children whose ages were from newborn to 15...
Rapid Detection Test for Streptococcus pyogenes in Normal Carriers of Group A Beta-Hemolytic Streptococci
Sung Ho Cha, Seon Ju Kim
J Korean Pediatr Soc. 1994;37(6):812-815.   Published online June 15, 1994
Streptococcus pyogenes has been regarded very importantly because of its severe sequelae, namely rheumatic fever and acute glomerulonephropathy. Rapid tests to identify this organism have been studied widely in developed countries in 1980s. We proceeded the rapid test(A Strept ADTM, Denka Seiken Co., Japan) of S. pyogenes on 141 children who were known to be carriers of this organism to...
Breast Feeding and Lower Respiratory Tract Illness in the First Year of Life
Jung Ja Jun, Soo Am Jung, Ghee Am Jung, Du Bong Lee
J Korean Pediatr Soc. 1994;37(6):816-821.   Published online June 15, 1994
Breast feeding is one of many factors that have been asociated with the development of lower respiratory tract illnesses. To assess the relation between breast feeding and subsequent experience of lower respiratory tract illness, we performed this study, retrospectively, on 366 infants who had been admitted to the pediatric ward, St. Francisco General Hospital, or had been brought to the...
Infectious Mononucleosis in Children
Woong Young Moon, Sei Ho Oh, Tae Sung Ko, Young Seo Park, Hyung Nam Moon, Chang Yee Hong, Dae Won Kim
J Korean Pediatr Soc. 1994;37(6):822-831.   Published online June 15, 1994
We reviewed th eclinical findings of infectious mononucleosis and performed Epstein-Barr virus (EBV) serologic antibody tests in infectious mononuleosis and healthy group. One group was 18 cases of children, diagnosed as infectious mononucleosis who had been admitted to the department of Pediatrics. Asan Medical Center for two years and eight months. From November, 1989 to June, 1992. Another group was...
Normal Blood TSH, T4 Levels in Neonates as Determined by Screening Test
In Ah Cha, Kwang Sin Kim, Kyoung Sim Kim, Young Wook Kim, Ki Bok Kim
J Korean Pediatr Soc. 1994;37(6):832-841.   Published online June 15, 1994
In 1,146 term neonates without perinatal problems who were born in kwangju Christian Hospital, blood TSH levels were measured by immunoradiometric assay. In 397 term neonates among them, blood T4 levels were measured by radioimmunoassay in same specimens. 1) In normal neonates aged 3~5days, 6~10days, 11~20days and 21~28days, the TSH levels were 8.885.21(meanSD), 9.44¡¾5.16, 9.69¡¾4.98, 11.963.75IU/ml and the T4 levels were...
A Clinical Observation on Lupus Nephritis in Children
Kang Mo Ahn, Jae Sung Ko, Hye Won Park, Il Soo Ha, Hae Il Cheong, Yong Choi, Hee Joo Kim
J Korean Pediatr Soc. 1994;37(6):842-849.   Published online June 15, 1994
We reviewed the clinical features, histrologic patterns and clinical courses of 30 children with lupus nephritis retrospectively, and the results were summerized as follows; 1) The male to female ratio was 1:2.8, and the mean age at the onset was 108/12 years. 2) The clinical symptoms were diverse, and malaise, weight loss, anorexia, fever and malar rash were the most frequent findings. 3)...
Case Reports
A Case of Two Giant congenital Aneurysms of the Right Coronary Artery
Yong Kwan Kim, Jo Won Chung, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee
J Korean Pediatr Soc. 1994;37(6):850-853.   Published online June 15, 1994
Aneurysms of the coronary arteries are rare. They may be due to atherosclerosis, mucocutaneous lymph node syndrome, mycotic emboli, syphilis or trauma and occasionally they are congenital. The prognosis appears to be poor and death can occur suddenly from rupture of the aneurysm, peripheral coronary embolism or bacterial endocarditis. Recently surgical treatment has been successful In a 5 year old patient with...
A Case of Synophthalmia with Chromosomal Anomaly: 46,XX,-15,t(15q,21q)
Byung Moon Ahn, Woo Seog Kim, Moo Yung Song, Un Jun Hyoung, Jin Oh Lee
J Korean Pediatr Soc. 1994;37(6):854-860.   Published online June 15, 1994
A synophthalmia, another form of cyclopia, in which the element of the two eyes are partially fused to form an apparently single eye in the middle of the forehead. The synophthalmia is a result of complex, neural plate misdevelopment syndrome involving the eye, brain, skull and face. It is well known that synophthalmia is due to heterogenous causes, most of...
Two Cases of Toxic Shock Syndrome (TSS) in Infants
Jin Kil Park, Hong Ju Choi, Hee Tag Im, Jae Sam Kim, Hyo Kyung Shin, Chul Ho Koo
J Korean Pediatr Soc. 1994;37(6):861-871.   Published online June 15, 1994
Much has been learned of the pathogenesis and pathophysiology of the toxic shock syndrome (TSS) sinde the initial description in 1978 by Dr. James K, Todd. The clinical illness in defined by the criteria listed in the case definition formulated for epidemiologic studies. With the advent of widespread recognition of TSS, there have been numerous published reports describing the clinical...
A Case of Incomplete Drash Syndrom
Im Jae Park, Hyunee Yim, Jae Seung Lee, Hyeon Joo Jeong, Woo Hee Jung
J Korean Pediatr Soc. 1994;37(6):872-879.   Published online June 15, 1994
Drash syndrome, which was first reported by Denys et al. In 1967 is a complex disorder which associates a nephropathy, Wilms?tumor, and male pseudohermaphroditism. The common denominator is a nephropathey. The nephropathy may be associated with either genital abnormalities or Wilms?tumor, and these associations are called incomplete form of Drash syndrome. This syndrome appears early in life and the first...
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