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Volume 39(10); Oct 1996
Medical Lecture Courses
Detection of Minimal Residual Diseasesin Childhood Leukemias
Won Suk Suh
J Korean Pediatr Soc. 1996;39(10):1335-1343.   Published online October 15, 1996
Role of Adhesion Molecule in Allergic Disease
Hai-Lee Chung
J Korean Pediatr Soc. 1996;39(10):1344-1350.   Published online October 15, 1996
Clinical Lecture
Diagnosis and treatment of chronic recurrent abdominal pain in children
J Korean Pediatr Soc. 1996;39(10):1351-1357.   Published online October 15, 1996
Original Articles
A Study on Mean Blood Lead and ZPP Levels of Children around Cheonan-city,Chungcheongnam-do
Hyun Mi Kim, Hae Kyung Lee, Kyeong Bae Park, Sang Chul Park, Sang Man Shin, Kyu Dong An, Byoung Kuk Lee
J Korean Pediatr Soc. 1996;39(10):1358-1363.   Published online October 15, 1996
Purpose : Recent years have witness a dramatic increase in public awareness of the health risks associated with lead exposure-particularly concerning young children. The lead poisoning in children was considered a rarity, usually resulting from unique circumstances such as in appropriate use of lead-based body cosmetics or direct administration of lead-containing folk medicine or contaminated atmosphere. The increasing concern about children with lower levels...
The Study of Serum Aminotransferase and AST/ALT Ratio in Pediatric Patients with Acute Hepatitis
Soo Mi Jung, Chang Rang Kang, Man Taeg Oh, Jong Duck Kim
J Korean Pediatr Soc. 1996;39(10):1364-1370.   Published online October 15, 1996
Purpose : Serum level of the aminotransferase is the most common test in use to assess hepatocellular injury and are sensitive test of hepatocyte necrosis, but both AST and ALT level in serum rise in a variety of hepatic disorders. Some clinical study reports that AST/ALT ratio was possible to predict prognostic outcome of infants with liver disease. We have tried to assess whether...
Measles Hepatitis in Children
Sang Gil An, Ji Eun Wuon, Ki Moon Cha, Yong Min Chung, Hee Sup Kim, Hann Tchah, Ho Jin Park
J Korean Pediatr Soc. 1996;39(10):1371-1377.   Published online October 15, 1996
Purpose : Measlesinfection in children hasbeen known to havemany complications including hepatitis. But there has been no appropriate study about measles hepatitis in children. So we studied to facilitate the understanding of measles hepatitis in children by analyzing their clinical features and laboratory findings. Methods : We investigated 164 patients who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital due to measles...
The Report of the Epidemiology of Measles which Prevailed in the Kyungi-Incheon Districts from July, 1993 & June,1994
Sang Uk Moon, Sung Dong Choi, Seng Yeon Jung, Byung Kyu Seo, Won Bae Lee, Jin Han Kang, Kyung Soo Lee
J Korean Pediatr Soc. 1996;39(10):1378-1384.   Published online October 15, 1996
Purpose : As a result of the development and the supply of vaccination, the epochal progress in vaccination against measles has been made. Nevertheless measles intermittent prevalence throughout the world was reported and measles prevailed throughout country in 1993 & 1994. So, we studied the epidemics of measles which prevailed in the Kyungi-Incheon districts and then evaluated the effects of the present vaccination indirectly...
A Study about IgG Subclasses Concentration of Chronic Cough Patient and Changes of Immunoglobulin Levels after RU 41.740 Administration
Yun Sun Choi, Yang Woo Kim, Seok Jung Yun, Hyung Ku Cho, Kee Hyuck Kim
J Korean Pediatr Soc. 1996;39(10):1385-1394.   Published online October 15, 1996
Purpose : People who suffer from chronic or recurrent respiratory disease have immunoglobulin deficiency due to hypofunction of B cell. Among these immunoglobulin deficiency, it has been reported that only one or two subclass of IgG are deficient with normal quantity of IgG and IgA. Therefore it is necessary to measure IgG subclasses in chronic or recurrent respiratory infection for diagnosis. The purpose of...
Diagnosis and Treatment of Fetal Cardiac Anomalies
Nam Su Kim, Myung Kul Yum, Hahng Lee, Sung Ro Jung, Jung Bae Yoo, Jae Ek Lee
J Korean Pediatr Soc. 1996;39(10):1395-1404.   Published online October 15, 1996
Purpose : Fetal echocardiography is used for the prenatal diagnosis of congenital heart disease. Fetal echocardiography allows decisions to be made in advance where the fetal abnormality is not compatible with life after delivery or where early correction is required. Our fetal echocardiographic experience was analysed retrospectively to guide future clinical application. Methods : 138 mothers had fetal echocardiography from April 1992 to December...
Age Related Ca, Phosphorus, Uric acid concentration in Serum & Urine and Ca/Cr ratio, Cua/Ccr & TRP
Jah In Kim, Sang Joo Han, Hong Jin Lee, Won Il Park, Kyung Ja Lee
J Korean Pediatr Soc. 1996;39(10):1405-1413.   Published online October 15, 1996
Purpose : There are many methods for the evaluation of the renal function. The proximal tubule of the nephrons have a role of reabsorption of the materials such as water, electrolytes, glucose, amino acids, and small molecular weight protein through the glomerular filtration. Therefore if abnormality is in the proximal tubule, these materials can be changed both in serum & urine. It is very...
A Study for the Normal Serum Carnitine Levelsand the Effect of Anticonvulsants on Serum Carnitine Levels in Pediatric Age
Byeong Eui Kim, Heung Dong Kim, Churl Young Chung
J Korean Pediatr Soc. 1996;39(10):1414-1421.   Published online October 15, 1996
Purpose : This study aimed to evaluate the effect of anticonvulsants on serum carnitine levels as well as normal serum carnitine levels. Methods : We measured the serum carnitine levels in 53 healthy children(34 males, 19 females) and 115 epileptic children(55 males, 60 females) receiving a various antiepileptic drugs. We assessed the effects of antiepileptic drugs on serum carnitine level together with a correlation between...
The Correlation between CD34+ Cell and Nucleated RBC Counts in Human Cord Blood
Seong Man Lee, Kyu Chan Kim, Sang Woo Kim
J Korean Pediatr Soc. 1996;39(10):1422-1428.   Published online October 15, 1996
Purpose : Human umbilical cord blood as a potential source of hematopoietic stem cell for stem cell transplantation in children has recently been advocated. Clinical application of cord blood transplantation, however, requires adequate blood volume and number of stem cells. Currently, the number of stem cells in the cord blood is usually measured by flowcytometry, which requires strict quality control and high costs. Here,...
Clinical Investigation of Neck Masses in Children
Sung Chul Byun, Dong Soo Kim
J Korean Pediatr Soc. 1996;39(10):1429-1442.   Published online October 15, 1996
Purpose : Neck masses are frequently encountered in pediatric practice, and have various underlying diseases. If the underlying diseases of the neck mass are not confirmed by its clinical characteristics, it can be done by neck mass biopsy. To define the necessity and the appropriate time of neck mass biopsy is very difficult and also important. Therefore the authers have conducted this study to...
Case Reports
Subacute Necrotizing Lymphadenitis in a 3 Year-Old Male Child
You Mee Heo, Seong Koo Kim, Young Ah Lee, Dae Gil Lee, Ha Ju Choi, Woo Kap Chung, Jung Won Shin
J Korean Pediatr Soc. 1996;39(10):1443-1447.   Published online October 15, 1996
Subacute necrotizing lymphadenitis is a benign form of lymphadenitis that was first described in Japan by Kikuchi in 1972. It mainly affects young women and usually manifests as fever and lymphadenopathy. Although it is a benign self-limited lymphadenitis, it has been misdiagnosed as malignant lymphoma. Histologically, involved lymph nodes contain a necrotizing process characterized by patch, well-circumscribed area with eosinophilic fibrinoid material. There is...
A case of Primary Sclerosing Cholangitis with Ulcerative Colitis
Jung Sue Kim, Yon Ho Choe, Chong Jai Kim, Woo Sun Kim, In-One Kim, Jeong Kee Seo
J Korean Pediatr Soc. 1996;39(10):1448-1454.   Published online October 15, 1996
An association between primary sclerosing cholangitis and ulcerative colitis is well known. But, primary sclerosing cholangitis with ulerative colitis has been rarely reported in children. The prevalence of primary sclerosing cholangitis among ulcerative colitis patiens is 3% in children. Primary sclerosing cholangitis is characterised by inflammation and fibrosis of the intrahepatic and extrahepatic bile ducts. The diagnosis of primary sclerosing cholangitis based on biochemical, histologic...
Catheter Ablation of Atrial Flutter Using Radiofrequency Energy in a Child :A Case Report
Jae Kon Ko, In Sook Park, Young Hwee Kim, Chang Yee Hong, Jae Joong Kim, You Ho Kim
J Korean Pediatr Soc. 1996;39(10):1455-1460.   Published online October 15, 1996
Atrial flutter is a potentially life threatening complication of repair or palliation of congenital heart disease and is frequently drug resistant. Recent studies in human have demonstrated that common type atrial flutter is due to macro-reentry in the right atrium and that the reentrant circuit may involve slow conduction in the low posteroseptal area of the right atrium. Catheter ablation of atrial flutter has...
A Pediatric Case of MELAS Syndrome Associated with Insulin-dependent Diabetes Mellitus
Kyung Ran Park, Hye Won Park, Tae Sung Ko, Hae Il Cheong, Sei Won Yang, Young Seung Hwang, In Won Kim, Je Geun Chi
J Korean Pediatr Soc. 1996;39(10):1461-1465.   Published online October 15, 1996
MELAS(mitochondrial myopathy, encephalopathy, lactic acidosis, and sroke like episodes) is a major subgroup of heterogeneous mitochondrial encephalopathy. Recent advances in molecular genetics revealed specific mutations in the mitochondrial DNA causing MELAS. We described clinical and molecular genetic findings of a 13-year-old boy with MELAS syndrome associated IDDM(insulin dependent diabetes mellitus). For molecular genetic studies, DNAs from peripheral blood nucleated cells were used. And the A→G...
A Case of Infected Urachal Cyst Mimicking Acute Peritonitis
Myoung-Bum Choi, Yoon-Ok Kim, Ge-Woo Yi, Yun-Kyeong Cho, Jae-Young Lim, Hyang-Ok Woo, Hee-Shang Youn
J Korean Pediatr Soc. 1996;39(10):1466-1468.   Published online October 15, 1996
Infected urachal cyst is a rare disorder. While a urachal cyst is usually asymptomatic, the infected cyst may mimic a variety of acute intraabdominal infection. We have experienced a case of infected urachal cyst in a 3 year old boy complaining of high fever and diarrhea. During hospitalization, symptoms and sings of acute peritonitis dominated the clinical feature. Abdominal sonogram, abdominal computerized tomography and cavitogram...
A Case of Isolated Fetal Pleural Effusion Antenatally Diagnose
Hae Kyung Lee, Joo Tak Lee, Joon Soo Park, Young Chang Kim, Sang Chul Park, Young Hwa Kim
J Korean Pediatr Soc. 1996;39(10):1469-1473.   Published online October 15, 1996
The isolated fetal pleural effusion is rare and has no other signs of fetal hydrops. Its etiology is unknown but the most common cause is congenital chylothorax. We experienced a case of fetal pleural effusion diagnosed in the 35 weeks gestational age by antenatal ultrasonogram and antenatal diagnosis allowed early therapeutic intervention such as drainage of pleural fluid immediatly after birth. We diagnosed congenital chylothorax...
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