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Volume 38(6); Jun 1995
Original Articles
A Study on the Necessity to Revise the Present Growth Data for Height and Weight? -Base on Data from the Circumference and Triceps Thickness-
Gi Dong Hwang, Jae Kyung Choi, Jeh Hoon Shin, Nam Soo Kim, In Joon Seol, Hahng Lee
J Korean Pediatr Soc. 1995;38(6):745-751.   Published online June 15, 1995
Purpose : Applying the present growth curve(established in 1985) in practice, we noticed some difference. And so, we performed this study to know that is it necessary to revise the present standard data in Korea. Methods : We checked the height and weight of 208 children of one primary school in Seoul. And also, we measured arm circumference and triceps thickness...
Intracraial Hemorrhage in Premature and Low Birth Weight Infants by Craniosonography
Seung Hee Choi, Jae Ock Park, Sang Man Shin, Sang Jhoo Lee
J Korean Pediatr Soc. 1995;38(6):752-759.   Published online June 15, 1995
Purpose : Intrabventricular hemorrhage is a common neuropathologic finding in premature and low birth weight infants. It is deeply related with neonatal death and neurologic sequelae. We want to know the incidence and the relating factors of intracranial hemorrhage in premature and low birth weight infants. Methods : We performed craniosonography in 170 premature and low birth weight infants in 3-7...
Diagnostic Value of Stable Microbubble Rating test and Efficacy of Surfactant Replacement Therapy in Neonates with Respiratory Distres syndroems
Jeong Hee Kim, Eun Ae Park, Kyung Hee Kim
J Korean Pediatr Soc. 1995;38(6):760-770.   Published online June 15, 1995
Purpose : Stable microbubble rating test(SMR) plays an important role in the clinical course and the prognosis of respiratory distress syndrome(RDS) patients, because SMR can be easily performed and it can predict quickly the neonatal RDS. After the success of the pulmonary surfactant replacement therapy in RDS infants by Fujiwara and co-workers in 1980, many supporting studies were presented and...
Immunogenicity and Safety of Live Attenuated Vaccine(MAV/06srtain) on Healthy Children and Immunocompromised Children
Young Mo Sohn, Chul Joo Yu, Pyung Kil Kim, Kir Young Kim, Chong Young Park, Mi Ran Kim, Woo Kap Jeung, Kyu Kye Hwang, Gyu Jin Woo, Song Yong Park
J Korean Pediatr Soc. 1995;38(6):771-777.   Published online June 15, 1995
Purpose : To study the safety and immunogenicity of new live attenuated varicella vaccine (MAV/06strain) in normal healthy children and immunocompromized children in Korea. Methods : Blood samples for fluorescent antibody to membrane antigen(FAMA) assay were taken before the vaccination among seven hundred forth five healthy children and twenty two nine immunocompromised children. One hundred and seventy seven children and twenty...
Epidemiology and Vaccine Efficacy of Measles During the 1993 measles Epidemic
Soon Ki Kim, Jong Woon Choi, Byong Kwan Son, Seung Nam Park, Churl Young Chung, Young Min Ahn, Chong Young Park, Ki Yang Ryoo, Woo Kap Chung, Hoan Jong Lee
J Korean Pediatr Soc. 1995;38(6):778-785.   Published online June 15, 1995
Purpose : Because of increased measles incidence in Korea during 1993 and the recent finding of genomic differences between vaccine virus and contemporary wild measles viruses, we conducted a measles vaccine efficacy study involving children ages 1 to 5 yeark, with the demographic analysis of patients brought to the hospitals during measles outbreak that had occurred 1993 in Seoul and...
Prevalence of Rubella Antibodies in the Southern Central Korea
Koo Pong Jeong, Mi Ryeung Kim, Hyang Ok Woo, Hee Sang Youn, Kohji Ueda
J Korean Pediatr Soc. 1995;38(6):786-793.   Published online June 15, 1995
Purpose : In front of the nation wide project of 15-year-old girl rubella immunization plan we performed a seroepidemiologic study to find out the age specific prevalence rate of rubella antibodies in the Southern Central Korea. Methods : Total 600 serum specimens from 20 cord bloods and patients of 400 children and 180 adults were obtained at the Geyongsang National University...
A Clinical Observation of Kawasaki Meningitis and Viral Meningitis
Jae-Ho Hyun, Young-Hoon Kim, Ji-Whan Han, Jong-Wan Kim, Kyung-Tai Whang
J Korean Pediatr Soc. 1995;38(6):794-803.   Published online June 15, 1995
Purpose : This study was performed to investigate the clinical characteristics in Kawasaki meningitis and viral meningitis. Methods : A clinical observation and comparison were carried out on 37 patients of Kawasaki disease with meningitis(group A) and 28 patients of Kawasaki disease without meningitis (group B) who were admitted to Catholic Medical Center from July, 1991 to June, 1993 and 100...
The Effect of ACTH on Mouse Heart
Sang Young Seo, Joo Won Lee, Chang Sung Son, Young Chang Tockgo
J Korean Pediatr Soc. 1995;38(6):804-810.   Published online June 15, 1995
Purpose : Adrenocorticotropic Hormone(ACTH) therapy is useful in the treatment of patients with infantile spasm. However, serious side effects including Cushing syndrome, infections, hypertension, and electrolyte imbalance must be encountered. Moreover, hypertrophic cardiomyopathy in association with ACTH therapy has recently reported. We performed thiw study to evaluate the effect of ACTH on heart muscle. Methods : We administered ACTH subcutaneously to...
Fetal Cardiac Malformation : types and associated anomalies
Ho Sung Kim, Jeong Wook Seo, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
J Korean Pediatr Soc. 1995;38(6):811-818.   Published online June 15, 1995
Purpose : The relative incidence of fetal cardiac anomalies and associated extracardiac anomalies in Korean fetuses were studied. Methods : Findings in fetal echocardiography and autopsy were reviewed using 129 fetuses with cardiac anomalis detected at a gestational period under 38 weeks from 1991 Jan. to 1994 June. Results : The most common fetal cardiac anomaly was isolated atrial septal defect(28 cases...
Stem Cell Transplantation in Umbilical Cord Blood(II) Characteristics of T-Lymphocyte Subpopulation in Umbilical Cord Blood
Kyung Ha Ryu, So Young Ahn
J Korean Pediatr Soc. 1995;38(6):819-826.   Published online June 15, 1995
Purpose : Homatopoietic stem cells, which have the ability to undergo self-renewal as well as to develop into multipotential differentiations, have been consistantly demonsteraten in human umbilical cord blood. Recently, there have been a few studies using the umbilical cord blood as a source of stem cell transplantation. However it remains unclear whether umbilical cord blood in safe with regards to...
Clinical Study on Insulin Dependent Diabetes mellitus
Seog Beom Cho, Kwang Rae Lee, Chang Beom Shin, Oh Kyung Lee, Chong Duk Kim, Oh Kyung Lee
J Korean Pediatr Soc. 1995;38(6):827-834.   Published online June 15, 1995
Purpose : Insulin dependet diabetes mellitus(IDDM) is a rare disease in children, but it will progress rapidly and falls into a diabetic ketoacidosis or coma. Unfortunately, the characteristics and prevalence rate of children with IDDM are not well known in Korea. With a view to recognizing its importance, we studied clinical course of IDDM patients in Chonbuk province, Korea. Methods : From...
Comparison Between 24-hour Integrated Growth Hormone Concentrations and Pharmacological Provocation Tests in Children with Short Statue
Mi Jung Park, Duk Hi Kim, Ho Seong Kim
J Korean Pediatr Soc. 1995;38(6):835-842.   Published online June 15, 1995
Purpose : The ability to respond to pharmacologial provovation tests may not necessary reflect actuaol secretory patterns of growth hormone. Therefore, the aim of this study in to evaluate the 24-h IC-GH and compare this with their resposnses to standard pharmacological provocation tests for growth hormone comcentrations and to evaluate peak frequency and peak amplitude during 24-h IC-GH in children...
Case Reports
Four Cases of Steroid-Induced Lipodystrophy
Young Hee Kim, Geun Mo Kim, Young-Yun Choi, Jae Sook Ma, Tai Ju Hwang
J Korean Pediatr Soc. 1995;38(6):843-847.   Published online June 15, 1995
Steroid-induced lipodystrophy is preduced by long-acting injectable glucocortiocoids (triamcinolone acetonides) within three weeks after intramuscular injection. It can be caused by inappropriate use of injectable steroids. Although it is recovered spontaneously without medication or plastic surgery, it may lasts for several years. Recently we experienced four cases of steroid-induced lipodystrophy and present a brief review of related literatures.
A Case of Q Fever with Agranulocytosis
Seong Woo Choi, Ja Wook Koo, Heung Dong Kim, Churl Young Chung, Won Young Lee
J Korean Pediatr Soc. 1995;38(6):848-852.   Published online June 15, 1995
A 9-year old boy suffered from fever 20 days. He lived in rural area near farms rearing cows, goats, sheep. He had fever for 20 days with mild respiratory symptom, hepatosplenomegaly and agranulocytosis. Coxiella burnetii infection was confirmed by the blood culture and demonstration of the specific antibodies in the indirect fluorescent antibody test. Four weeks later, agranulocytosis was improved...
A Case of Fetal Hydantoin Syndrome Associated with Cardiac Anomaly
Hae Kyung Lee, Joon Soo Park, Kyeong Bae Park, Young Chang Kim
J Korean Pediatr Soc. 1995;38(6):853-856.   Published online June 15, 1995
The fetal hydantoin syndrome is broad range of morphologic and developmental disorder in infant born of epileptic mothers exposed to hydantoin during pregnancy. We experienced a case of fetal hydantoin syndrome in a male neonate who had cleft palate, cleft lip, hypertelorism, TOF, finger hypolasia with prenatal history of exposure to diphenylhydantoin. We presented this case with brief review of literatures.
Erratum
Vertical Transmission of Hepatitis C Virus in Infant of the Mother Who Had Active Hepatitis C during Pregnancy
Mi-Jeong Lee, Mi-Jeong Lee
J Korean Pediatr Soc. 1995;38(6):857-862.   Published online June 15, 1995
Vertical transmission of hepatitis C virus(HCV) has been reported recently. The authors experienced one case of vertical transmission of HCV in infant of the mother who had active hepatitis C durig pregnancy. At delivery, HCV RNA(+), IgG anti HCV Ab(+), IgM anti HCV Ab(+), mile elevation of liver aminotransferase level and mile fatty liver of ultrasonography were found in the...
Case Reports
A Case of Hyperthyroidism Following Primary Hypotyroidism
Han Sung Cho, Hwang Jae Yoo, Sang Ook Park, Jae Hong Park, Su Young Kim
J Korean Pediatr Soc. 1995;38(6):863-866.   Published online June 15, 1995
A 9-year-old girl presented with primary hypothroidism have been followed by the development of hyperthyroidism. The diagnosis of primary hypothyroidism had been made by clinical manifestation, elavated serum thyroid-stimulating hormone level, antithyroglobulin antibody and antimicrosome antibody. Five and a quarter years later, the diagnosis of hyperthyroidism had been made by clinical maifestation such as enlargemetn of thyroid gland, tahcycardia, increased...
Two Cases of Familial β-Thalassemia Minor
Jeong Hwa Hwang, Hyeon Jeong Lee, Jun Hur, Gae Soon Yeo, Hee Jin Kim, Chan Yung Kim, Tae Jun Yun
J Korean Pediatr Soc. 1995;38(6):867-871.   Published online June 15, 1995
The β-thalassemia minor is a hereditary microcytic, hypochromic anemia characterized by decerased producion of β-globin polypeptide chain. The β-thalassemia minor should be clinically differentiated from iron deficiency anemia. The thalassemia are common in the Medeterranean region, the Middle Ease, the Africa, Indea, and Thailand, but rare in Korea. The authors experienced two cases of familial β-thalassemia minor 4-year 7-month-old female patient and...
A Case of Tuberculous Mesenteric Lymphadenitis Clinically Presenting as Abdominal Mass
Seung Hee Mok, Soo Young Lim, Heui Jeong Kwon, In Sil Lee
J Korean Pediatr Soc. 1995;38(6):872-876.   Published online June 15, 1995
Tuberculosis may affect Iymphnodes of any part of the body as a primary infection or secondary to lymphatic or hematogenous dissemination. But the diagnosis of tuberculous mesenteric lymphadenitis is often difficult to establish, because symptoms and signs are often quite vague and laboratory and radiologic findings ard unhelpful. We have recently experienced a case of tuberculous mesenteric lymphadenitis clinically presenting as...
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