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Hyperviscosity Syndrome in Newborn.

Journal of the Korean Pediatric Society 1982;25(6):622-627.
Published online June 30, 1982.
Hyperviscosity Syndrome in Newborn.
Yong Soon Kim, Sook Hee Lee, Ja Hoon Koo, Doo Hong Ahn
Department of Pediatrics School of Medicine, Kyungpook National University Taegu, Korea.
신생아의 고점조증후군
김용순, 이숙희, 구자훈, 안두홍
경북대학교 의과대학 소아과학교실
Abstract
We experienced Hyperviscosity syndrome in 5 newborn infants during 6 months period from August 1980 to January 1981. Diagnosis was made on the basis of characteristic clinical symp-toms along with polythemia. The following results were obtained. Sex in 5 affected infants showed male in 2 and female in 3. And gestational age showed preterm in 3 and full term in 2 cases. Predisposing factors were intertwin transfusion in 1, placental insufficiency with maternal to-xemia in 2(one of which was accompained with interwin transfusion) and small for gestational age in 1. Signs and symptoms associated with hyperviscosity syndrome were cyanosis in 3, dyspnea in 2, lethargy in 2, plethora in 1, hypocalcemia in 4, hypoglycemia in 2 and hyperbilirubinemia in 2 cases. Partial exchange transfusion was done in all cases, resulting in improvement of polycythem-ia and clinical condition, except 1 expired case.
Key Words: Hyperviscosity syndrome, newborn, polycythemia, partial exchange transfusion


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