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Volume 37(7); Jul 1994
Medical Lecture Course
Clinical application of magnetic resonance analysis in neonates
J Korean Pediatr Soc. 1994;37(7):883-889.   Published online July 15, 1994
Original Articles
Unusual Presentation of Kawasaki Disease Complicated by Coronary Aneurysms
Young-Ah Lee, In-Sook Park, Young-Hwue Kim, Hyung-Nam Moon, Chang-Yee Hong
J Korean Pediatr Soc. 1994;37(7):890-899.   Published online July 15, 1994
Patients with atypical or incomplete Kawasaki disease are at same risk for development of coronary artery complications as typical Kawasaki disease. In this communication we report six patients with unusual presentation of Kawasaki disease complicated by coronary artery aneurysms, in whom correct diagnosis were not made in time for proper treatment. One of these patients died from massive myocardial ischemia...
Significance of Urinary Interleukin 6 Level in Mesangial Proliferative Glomerulonephritis in Children
Byeong Ho Kang, No Hyun Kim, Woo Yeong Chung, Chul Ho Kim, Soon Yong Lee
J Korean Pediatr Soc. 1994;37(7):900-905.   Published online July 15, 1994
By animal experiments in rat, it has been known that Interleukin-6(IL-6) is secreted from renal mesangial cells and is an autocrine growth factor for the proliferation of mesangial cells. According to these facts, several studies have been tried for its clinical usefulness by measuring their serum or urinary IL-6 in glomerulonephritis patients with mesangial proliferation. The authors measured urinary IL-6...
Protective Effect of Breast Feeding for Infection
Jin Kyung Jung, In Nam Kang, Dong Ju Sin, Doo Bong Lee
J Korean Pediatr Soc. 1994;37(7):906-912.   Published online July 15, 1994
A Comparative study was retrospectively performed with 374 infants in order to find protective effect of breast feeding for infection. This study shows that breast feeding protect infant against gastrointestinal and respiratory infcttion. Breast feeding offers advantage by reducting gastraintestinal and respiratory infection when they should maintain breast feeding for at least three months. 1) First year morbidity increased with extent of artificial...
Association of Allergic Disease with the Sinusitis in Children
Heung Keun Oh, Koo Pong Jung, Hyun Sung Park, Chang Ok Soh, Jin Young Jung
J Korean Pediatr Soc. 1994;37(7):913-923.   Published online July 15, 1994
Sinusitis manifested as symptomatic imflammation of the paranasal sinuses is a common pediatric diagnosis. Many studies have focused more directly on the question of relationship between allergy and sinusitis but the relevance of the relationship between allergy and sinusitis still needs further examination. The purpose of this study is to assess of relationship of allergy to extent or severity of...
Normal Values for Neonatal Periumbilical Skin Length
Young Pyo Chang, Hyung Suk Lim, Hye Won Park, Woong Huem Kim, Hee Ju Kim
J Korean Pediatr Soc. 1994;37(7):924-927.   Published online July 15, 1994
Malformations of umbilicus are feature of many dysmorphic syndromes and the measurement of periumbilical skin length should be considered as the basic step in the description of the umbilical malformations. So, we measured the periumbilical skin length in the 103 normal neonates and obtained the following results. 1) The means(+SD) of the periumbilical skin length were the 11.7mm(+3.0)in the cranial site...
The Biochemical and Bacteriological Study of the Umbilical Venous Blood for Autologous Transfusion in Neonates
Son Moon Shin, Kwang Hae Choi, Hyun Mo Gu, Jeong Ok Hah
J Korean Pediatr Soc. 1994;37(7):928-936.   Published online July 15, 1994
This study was conducted to investigate the safety of the umbilical venous blood for antologous transfusion in the premature newborn babies. Umbilical venous blood was collected with aseptic technique immediately after delivery from 270 healthy mothers admitted to the Yeungnam University Hospital between March 1, 1992 and August 31, 1992. The volume of the blood and the time taken for...
Meta-analysis of Impact of Neonatal Intensive Care on Neurodevelomental Outcome of Very Low Birth Weight Infants
Beyong Il Kim, Jung-Hwan Choi, Chong Ku Yun
J Korean Pediatr Soc. 1994;37(7):937-945.   Published online July 15, 1994
We analyzed neurodevelopmental outcome data of 36 selected studies. Data of individual studies were pooled by birth weight group: <800g, <1,000g, <1,500g and by time period of birth year: Period I(pre-intensive care era), 1960-67:Period II(beginning period of intensive care), 1968-76:and Period III(established period of intensive care), 1977-87. In all weight groups, survival and intact outcome rates based on live birth have...
Nonspecific Bronlchial Reactivity Determined by Tidal Breathing Method and Chest Auscultation - A Comparison with Dosimeter Method -
Soo Ahn Chae, Young Yull Koh
J Korean Pediatr Soc. 1994;37(7):946-952.   Published online July 15, 1994
As a preliminary step to determine if we can perform methacholine challenge test in young children, we investigated the feasibility of modified technique of methacholine challenge test in which tidal breathing and chest auscultation were used instead of dosimeter and measurement of lung function in older children. The results are as follows 1) Values of PC20 measured by the tidal breathing...
Study on Iron Deficient State in the Female Adolescent Athletes
Pil Seob Shim, Ja Hyun Park, Dong Gun Park, Kwang Chul Lee, Young Chang Tockgo
J Korean Pediatr Soc. 1994;37(7):953-960.   Published online July 15, 1994
Iron deficient state occurs commonly in the athlets, and the cause may be cause may be inadequate iron intake, loss of iron from sweat, blood loss of gastrointestinal tract, and hematuria. The age of the athletes ranged from 11 to 17 years old. I messured red blood cell count, hemoglobin, hematocrit, and related hematologic factors in the 32 adolescent female...
Pheochromocytoma in Children
Tae Sue Ha, Jae Hong Park, Il Soo Ha, Hae Il Cheong, Yong Choi, Hyung Ro Moon, Gui Won Park
J Korean Pediatr Soc. 1994;37(7):961-968.   Published online July 15, 1994
We Reviewed 10 hypertensive children with pheochromocytoma retrospectively and the following results were obtained. 1) Out of 10 patients, 7 were male and 3 female. Age ranged from 5.5 years to 13.8 years and their median age was 9.9 years. 2) They complained of sweating, lethargy, headache, or chest pain and so on, Hypertension were noticed in all patients. Heart murmurs were...
Atrial Flutter Conversion in Infants and Children Using Transesophageal Atrial Pacing
Jae Kon Ko, Seoug Ho Kim, Eun Jung Bae, I Seok Kang, Heung Jae Lee
J Korean Pediatr Soc. 1994;37(7):969-975.   Published online July 15, 1994
Atrial flutter is an infrequent, but potentially unstable tachyarrythmia that occurs in pediatric ages. Transesophageal atrial pacing was used for treatment of 10 episodes of atrial flutter in 7 patients. At the time of atrial flutter conversion, patients were 6 days to 14 years old. 6 patients had associated with congenital heart disease. The atrial cycle length of atrial flutter ranged from...
Effect of Perinatal Asphyxia and Gentamicin on Urinary β2-microglobulin Concentration and Renal Function in Fullterm Neonates
Hoo Jae Hann, Seung Joo Lee
J Korean Pediatr Soc. 1994;37(7):976-985.   Published online July 15, 1994
Perinatal asphyxia can cause ischemic injury to immature kidney of neonates. Proximal renal tubule is the most sensitive area, showing various manifestations ranging from mild reversible injury to irreversible tubular necrosis. Aminoglycosides can be nephrotoxic in therapeutic range in immature or damaged kidney. These are the very important factors to be taken into corsideration on fluid therapy and nephrotoxic drugs...
Prevalence of Diabetes Mellitus and Glycosuria in School children
Jae Ho Lee, Kwang Wook Ko
J Korean Pediatr Soc. 1994;37(7):986-993.   Published online July 15, 1994
An epidemiological survey on the glycosuria was conducted on the senier students of middle and hign school in Seoul, from March 1981 to March 1982. Selected examinee totalled to 254,835 of which 138,116 were male & 116,719 were female. The initial, second and third urine sugar test were done with Combur-test strip? Glucose tolerance test was performed on those who...
Case Reports
A Case of Goltz Syndrome
Won Rae Kim, Hyang Joo Kim, Ghee Young Jung, Jin Gun Bang, Du Bong Lee, Jung Hee Park
J Korean Pediatr Soc. 1994;37(7):994-998.   Published online July 15, 1994
Goltz syndrome is known as a rare mesoectodermal hereditary disease, characterized by focal dermal atrophies with hernias of adipose tissue and also associated with a multitude of possible skeletal, dental, ophthalmological and other abnormalities. We experienced a case of Goltz syndrome. An one day old female newborn had focal atrophic and telangiectatic skin lesions, microphthalmia, syndactyly and urinary tract abnormality. The finding...
A Case of Pulmonary Blastoma
Yun Jeong Chang, Jeong Hee Kim, Sun Ki Kim, Byong Kwan Son, Joon Mi Kim, Young Chae Chu
J Korean Pediatr Soc. 1994;37(7):999-1005.   Published online July 15, 1994
Pulmonary blastoma is a rare type of malignant lung tumor comprised of epithelial and mesenchymal elements reminiscent of fetal lung. Mesenchymal element may show various patterns of differentiation toward mature tissue, such as cartilage, smooth muscle, and bone. Rhabdomyoblastic differentiation in pulmonary blastoma is quite rare. Our case of pulmonary blastoma with rhabdomyoblastic differentiation documented by electron microscopy and immunohistochemistry. Usually...
A Case of Partial Trisomy of 3p(Trisomy of 3p23)
Seo Jeong Kim, In Kyu Kim, Kyu Hyoung Lee, Sook Hwan Lee, Kyoung Sub Cha, Sun Ja Park
J Korean Pediatr Soc. 1994;37(7):1006-1010.   Published online July 15, 1994
Partial Trisomy of 3p(Trisomy of 3p2, dup(3)(p23→pter)) is a characteristic syndrome of chromosomal duplication of distal part of 3p, but breakpoints seem to vary in location. This syndrome shows multiple congenital anomalies with severe mental retardation, characteristic craniofacial change and absence of other gross external abnormalities. The craniofacial dysmorphism includes frontal bossing and temporal indentation, square face, marked hypertelorism, thick...
One Case of Aneurysm of Vein of Galen
Sun Young Lee, Jong Won Lee, Dong Joo Shin, Jin Keun Bang, Du Bong Lee, Kwang Woo Lee
J Korean Pediatr Soc. 1994;37(7):1011-1015.   Published online July 15, 1994
Aneurysm of the vein of Galen is a rare midline arteriovenous malformation, usually presenting with cardiac failure in infancy or with hydrocephalus and raised intracranial pressure in older children. We experienced a case of the vein of Galen aneurysm diagnosed with computed tomographic (CT) features and magnetic resonance image(MRI), a new imaging modality. Our case was a 3 day-old male neonate...
A Case of Steven-Johnson Syndrome Associated with Cholestatic Hepatitis
Tae-Hee Park, Ran-Ju Kim, Byoung-Geun Lee, Soo-Chul Cho, Dae-Yeol Lee
J Korean Pediatr Soc. 1994;37(7):1016-1019.   Published online July 15, 1994
A12-year-old boy developed cholestatic hepatitis with Steven-Johnson syndrome following the use of amoxicillin. The skin lesion and general condition were improved over 2 weeks, but jaundice was gradually aggrevated. We performed liver biopsy, on 30th hospital day, which showed cholestatic hepatitis. The patient improved gradually and liver function was normalized 5 months later.
A Case of Idiopathic Hypereosinophilic Syndrome
Bin Cho, Jin Tack Kim, Joon Sung Lee, Kyoo Hong Cho
J Korean Pediatr Soc. 1994;37(7):1020-1027.   Published online July 15, 1994
The idiopathic hypereosinophilic syndrome(HES) represents a heterogenous group of disorder characterized by prolonged eosinophilia of undetectable cause and multiorgan system dysfunction. Bone marrow is the most frequentry involved organ, but the most severe clinicopathologic involvement is heart. The major cause of death in patients with the HES is cardiac dysfunction especially congestive heart failure resulted from endocardial fibrosis and restrictive cardiomyopathy. We...
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