A clinical assessment of 25 patients with neonatal cholestasis caused by cytomegalovirus infection who were admitted to the Department of Pediatrics, Yonsei University College of Medicine from January 1983 to July 1988 was performed. The results were as follows: 1) The patients with neonatal cholestasis caused by cytomegalovirus infection were 19% of the total patients with neonatal cholestasis from January 1983 to July 1988 and were... |
The authors clinically observed 60 patients with peptic ulcers who had been admitted to Severance Hospital, Yonsei University College of Medicine during the 9 year period from May 1979 to May 1988. The results were as follows: 1) Age and sex incidence of peptic ulcer patients from 5 months old to 17 years old showed that males predominated in a proportion of 1.5:1 and 88.3%... |
The Korean pediatric association is conducting the analysis of disease patterns of children by the body organ system. For the purpose of assessing the disease patterns in patients of the pediatric age in Korea, we performed a statistical analysis of diseases of patients admitted to the department of pediatrics in 36 hospitals having pediatric residency programs in 1987. The results obtained were as follows, 1) Total... |
A clinical study of 687 patients including 76 with one or more episodes of recurrent intussusception who had been admítted to Severance Hospital, Yonsei University College of Medicine during the 5 year and 4 month period from Jan. 1982 to Apr. 1987 was made and compared with previous clinical data collected from 1977 to 1981. The results were as follows. 1) The overall recurrence rate... |
A clinical study of 24 patients with congenital choledochal cyst who had been admitted to Severance Hospital, Yonsei University College of Medicine during the 16 year peroid from January, 1971 to December, 1986 was done. The results were as follows; 1) Of the 24 cases studied, the highest incidence of this cyst, 15 cases (62.5%), was found in children younger than 10 years of age. The... |
Mucocutaneous lymph node syndrome was first described as a new clinical disease by Kawasaki in Japan in 1967. Recently, there have been numerous reports of this disease throughout the world and mucocutaneous lymph node syndrome has become familiar to the pediatrician. Complications previously described include coronary arteritis, carditis and gall bladder hydrops, aseptic meningitis and arthritis. We experienced 1 case of mucocutaneous lymph node syndrome... |
Statistical analysis of pediatric diseases in patients admitted to the department of pediatrics in 34 hospitals having pediatric residency program for 2 years from Jan. 1985 to Dec. 1986 was underwent for the purpose of assessing the disease pattern in the pediatric aged people in Korea. The results obtained were as follows 1) Total number of inpatients was 112,309, of which 69,266 were male and... |
A clinical assessment of the 30 patients with extrahepatic biliary atresia who were admitted to the Department of Pediatrics and pediatric Surgery, Yonsei University College of Medicine from January, 1979 to January, 1987 was performed. In 21 patients who underwent hepatic portoenterostomy, the relationship between outcome and surgery was analyzed. Finally, collelations between lonterm prognosis and the histopathology of biopsied liver tissue, postoperative bile... |
The authors experienced a case of Kawasaki disease complicated by hydrops of the gallbladder in a 3-year old male patient. The main clinical features were colicky abdominal pain, vomiting, jaundice, fever and a palpable tender mass in RUQ in conjunction with the characteristic clinical manifestation of Kawasaki disease. The clinical diagnosis was confirmed by ultrasonography, and the patient was recovered by conserva- tive management without... |
Gastrointestinal polyps in infants and children are relatively rare, but they occur frequently enough to merit attention and consideration as a cause of chronic intermittent rectal bleeding of small amounts. Total 69 cases of gastrointestinal polyps under 15 years of age who had been admitted to Department of Pediatrics, Yonsei University College of Medicine for 11 years from January, 1975 to June, 1985 were... |
After the discovery of Australia antigen by Blumberg et al in 1965, subsequent studies revealed that Australia antigen is identical with surface antigen of hepatitis B virus. The infants born to HBsAg positive mother can be protected from perinatal hepatitis B virus infection with hepatitis B vaccine and hepatitis B immunoglobulin. If the dose of vaccine can be reduced from... |
Clinical study was performed on 76 cases of upper gastrointestinal bleeding who had been admitted to Department of Pediatrics, Yonsei University College of Medicine during the period of 6.5 years from Jaunary, 1979 to June, 1985. The results were as follows: 1) Seventy six cases with upper gastrointestinal bleeding in this study accounted for 0.32% of the total admitted patients, and... |
Recurrent Abdominal Pain is a frequent disease entity in school children. It is characterized by at least three attacks of pain, sever enough to affect routine activity and occuring over a period of time longer than 3 months. The cause of the pain is almost psychophysiologic origin (over 95% of all children with recurrent abdominal pain). The frequency of this... |
One hundred and sixty seven patients ranging age from 5 months to ],6 years seen at Department of Pediatrics, Yonsei University, College of. Medicine, were underwent diagnostic fiberoptic endoscopy and double contrast barium meal examination. Of 167 patients, 138 cases had chronic recurrent abdominal pain with or without associated vomiting and 29 cases had upper gastrointestinal bleeding on admission. The... |
There are four main groups of clinical manifestations in salmonellosis, gastroenteritis。 enteric fever, localized infection, and chronic carrier state, that may occur individually, simultaneously or consecutively in the course of an infection. The authors experienced a case of salmonella gastroenteritis complicated with empyema of gall bladder in a 12-year-old male patient. The clinical diagnosis was confirmed on the operating table and... |
We have experienced 2 cases of glycogen storage disease who were clinically suspected of von Gierke’s disease. Each had a typical clinical findings of marked abdominal distension due to hepatosplenomegaly and also had a typical laboratory findings. Liver biopsy disclosed morphologic details of glycogen storage disease. The authors reported a von Gierke’s disease with a brief review of related literatures. |
A clinical studies were performed on hepatotoxicity of antituberculous drugs in 155 cases of tuberculous patients under 15 years who had been admitted to Pediatric Department of Yonsei University Medical Center during 4 years period between January, 1979 and December, 1982. The results were obtained as follows; 1) Hepatotoxicities were observed on 20 cases among 155 cases. They all belonged to... |
The Gianotti-Crosti syndrome, papular acrodermatitis of childhood(PAC), is an infrequently recognized disorder with distinctive characteristics. At present hepatitis B virus is thought to be an etiologic gent. The disease is very rare in Korea, in spite of the high frequency of hepatitis B surface antigen(HBsAg) in the general population. It is known that subtype ayw of the HBsAg may influence... |
Adenomyomatosis is a hyperplastic condition of the epithelial and muscular elements of the gall-bladder wall. And it is probably a degenerative condition, and the ineidence is increasing with advancing age, but this illness is very rare in children. There may be associated cholesterosis. We experienced a case of Adenomyomatosis of gall-bladdor with Rokitansky-Aschoff sinus having severe colicky abdominal pain and vomiting, and made... |
This study was carried out in 78 subjects of both sexes who were affected by acute viral hepatitis and admitted to Severance Hospital attached to Yonsei Medical College from Oct. 1980 to June. 1981. Hepatitis B markers, serum immunoglobulins and ESR were respectively examined in all patients. The results were as follows. 1. In all patients, regardless of positivity of HB markers, IgG, IgA and IgM levels... |
To investigate the liver diseases affecting infancy and Childhood and to make a clinicopathologic correlation, a total of 105 liver biopsies were examined and following results were obtained. 1. Of the 105 liver biopsies, 94 cases were available for the study, and the male to female ratio of liver biopsies in infancy and childhood was 1.8 : 1. 2. Of... |
We have experienced a case with acute fulminant hepatitis induced by Herpesvirus homin-us. The patient, 11day-old male baby, was admitted with the chief complaints of poor sucking and jaundice for 3 days duration. On adimission, we performed bacterial cultures, liver function tests, blood coagulation test, TORCH study and routine hematologic studies. During these studies, bleeding tendency was n-oticed at the... |
Marked eosinophilia is a common finding in many disease, occurring most frequently in allergic and parasitic conditions. A Separate syndrome characterized by peripheral eosinophilia and multisystem eosinophilic infiltration has been reported by many authors with a variety of diagnoses. In 1968, Hardy and Anderson proposed the term hypereosinophilic syndrome to encompass the entire group and in 1975, Chusid reported 14... |
One case of pancreatic pseudocyst occuring in a 6 year old boy was presented. The pancreatic pseudocyst was caused by blunt abdominal trauma, and the diagnosis was confirmed by U.G.L series and exploratory laparotomy. The patient was cured with the surgical method of internal drinage, and there was no complications after surgery. We have presented this rare case and reviewed... |
We have experienced a case of tuberculous abscess of the liver with empyema in a 12 years old boy. He was admitted with the chief complaints of pain and mass in the right upper abdomen of about 1 month duration and intermittent mild fever for 15 days. On examination, liver was palpable 5 cm below the right costal margin, and... |
Thirty percutaneous liver biopsy and one liver necropsy were reviewed in Severance Hospital, Yonsei University from June 1979 to September 1980. This procedure is the safe and accurate means of diagnosing and studying liver diseases in the pediatric patients especially persistent conjugated hyperbilirubinemia, chronic liver disease, and some rare diseases (eg. Histiocytosis-X, Storage disease disease, Gilbert syndrome), The significance of... |
We observed clinically 150 cases who were admitted with complaing of purpura at the Pediatric Department of Severance Hospital Yonsei University College of Medicine during a period of 9 years from July, 1966 to June, 1975. In 150 cases, leukemia, 33 cases (22.0%), was most common disease, followed by I.T.P., allergic purpura, meningococcemia, aplastic a nemia, sepsis in order aqnd... |