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Original Article
A Case of Neonatal Spontaneous Pneumomediastinum.
Kee Hwan Yoo, Ho Chan Na, Min Shik Kim, Hyun Kum Lee
Clin Exp Pediatr. 1987;30(4):427-430.   Published online April 30, 1987
Neonatal spontaneous pneumomediastinum is a rare phenomenon which is observed in case of respiratory distressed, meconium stained and meconium aspirated neonate. In certain state, air can leak from the ruptured alveoli into the pulmonary interstitium and movement of this air along the vascular structures may result in pneumomediastinum. We experienced a case of spontaneous pneumomediastinum, in a 3 day-old male infant (43+5 wks gestational...
A Case of Congestive Splenomegaly(Banti Syndrome) with Hypersplenism.
Hyun Mo Cheong, Jae Kwang Hong, Joon Taek Park, Jung Sik Min, Chang Hee Choi, Seung Hye Ahn, Sang Chull Kim
Clin Exp Pediatr. 1987;30(4):416-421.   Published online April 30, 1987
The authors experienced a case of hypersplenism in a 12 year-old male patient with the chief complaints of nasal bleeding and palpable mass on LUQ of abdomen. The patient had splenomegaly, leukopenia, and thrombocytopenia. He had high portal venous pressure of about 340 mmH20 and the splenoportography showed non-visualized portal vein and tortuous vessels suggesting portal vein obstruction. Splenectomy was done and his symptoms...
Statistical Observations for Pediatric Inpatients.
Byung Cheol Han, Hack Ki Kim, Byung Churl Lee, Kyong Su Lee, Sung Hoon Cho, Du Bong Lee
Clin Exp Pediatr. 1987;30(4):385-392.   Published online April 30, 1987
We observed the patients admitted to the department of pediatrics of St. Mary*s Hospital, Catholic Medical College during the past 20 years from Jan. 1966 to Dec. 1985 and classified them by year and disease according to the International Classification of Disease by W.H.O. (1965 Revision). The results were as follows: 1) The total number of pediatric inpatients during 20 years was 18,686, of which...
A Prospective Study ot Neonatal Acute Renal Failure: The Significance of Various Diagnostic Indices.
Kyung Hyo Kim, Seung Joo Lee, Keun Lee
Clin Exp Pediatr. 1987;30(4):378-384.   Published online April 30, 1987
Acute renal failure is defined as a sudden decrease in renal function resulting in progressive retention of nitrogenous waste products. Acute renal failure should be suspected in any infant who has a sustained decrease in urine output to less than 1 ml per kg per hour, a blood urea nitrogen level above 20 mg per dl, a serum creatinine level greater than 1.0...
A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia.
Hyo Sin Kim, He Jin Im, Ock Seung Jeong, Son Sang Seo, Jung Woo Yang
Clin Exp Pediatr. 1987;30(3):291-296.   Published online March 31, 1987
A clinical study was done on 33 cases of congenital small intestinal atresia at II Sin Christian Hospital between Jan. 1979 and Dec. 1985. The following results were obtained: 1) The incidence of congenital small intestinal atresia was 1: 1509 live births and sex ratio was 1. 2: 1, male: female which was the same as the overall hospital distribution. 2) Birth weight was less than 2,500...
Clinical Study on the Hypoplastic Right Heart Syndrome.
Sejung Sohn, Soon Ung Kang, Chung Il Noh, Jung Yun Choi, Yong Soo Yun, Chang Yee Hong, Dug Ha Kim, Jong Lin Rhi
Clin Exp Pediatr. 1987;30(3):281-290.   Published online March 31, 1987
A clinical observation was made on 12 cases of the hypoplastic right heart syndrome who were admitted to the department of Pediatrics, Seoul National University Hospital from January 1978 to May 1986. The -results were as follows; 1) The ratio of female to male was 1:1 and, according to the anatomic classification by Khoury, 6 cases were in type 1, 4 cases in type II...
Case Report
A Case of Blue Rubber Bleb Nevus Syndrome.
Kwang Soo Oh, Soon Kook Choi, San Ho Kim, Bock Keun Kee, Hyung Sun Sohn, Seok Don Park
Clin Exp Pediatr. 1986;29(12):1372-1376.   Published online December 31, 1986
The Blue Rubber Bleb Nevus Syndrome is defined as rarely occuring hemangioma of the skin and gastrointestinal tract, with intestinal hemorrhage. Bean in 1958 gave the name Blue Rubber Bleb Nevus (BRBN) to a variant of bluish hemangiomas of the gastrointestinal tract which causes bleeding, which had been described for the first time by Gascoyen. We experienced a case of Blue Rubber Bleb Nevus...
A Case of Potter Syndrome Type I.
Jong Cheol Ryu, Jae Kwang Hong, Jun Taek Park, Jung Sik Min, Chang Jee Choi, Je Geun Chi
Clin Exp Pediatr. 1986;29(10):1152-1156.   Published online October 31, 1986
We have experienced a case of Potter syndrome type I in a newborn infant who presented with severe respiratory distress soon after birth. The diagnosis was made with autopsy findings consisted of bilateral polycystic renal dysplasia, bilateral hypoplastic lung , facies renalis, fibrocystic change of liver, patent ductus arteriosus, patent foramen ovale, ureter and urinary bladder hypoplasia and calcaneovarus. Brief...
Original Article
A Study on Hormonal Change of Lh, FSH, and Testosterone and Testicular Volumes in Pubertal Mal Children.
Heung Dong Kim, Duk Hi Kim, Ki Keun Oh
Clin Exp Pediatr. 1986;29(9):979-987.   Published online September 30, 1986
The mechanism involved in pubertal changes has not been clearly demonstrated, but evidence has been accumulated that hormonal changes are responsible for this pubertal changes. We studied the height, weight, testicular volume, bone age, LH, FSH, and testosterone, "by Tanner stage of pubic hair development in 134 pubertal male children with no previous endocrine disease, who admitted at Yonsei University Medical...
Clinical Study of Upper Gastrointestinal Bleeding in Infancy and Childhood.
Soon Wook Lim, Ki Sup Chung
Clin Exp Pediatr. 1986;29(8):845-854.   Published online August 31, 1986
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...
Idiopathic IgA Nepropathy in Children.
Hae Il Cheong, Han Wook Yoo, Kwang Wook Ko
Clin Exp Pediatr. 1986;29(6):633-643.   Published online June 30, 1986
We analyzed clinical findings, pathological findings and clinico-pathological correlations in 55 children with idiopathic IgA nephropathy confirmed immunopathologically, and the results were as follows; 1) The mean age at onset was 9.65±2.45 years with relatively even distribution in school ages and males outnumbered females by 1.75 : 1. 2) The main mode of presentation was typical...
Progostic Factors in Neonatal Asphyxia.
Hye Li Chung, Wan Sup Kwak, Haeng Mi Kim, Doo Hong Ahn
Clin Exp Pediatr. 1986;29(4):420-425.   Published online April 30, 1986
A clinical study was conducted on 30 term babies with neonatal asphyxia, who were admitted to Pediatric Department of Kyungpook National University Hospital during 2years period from May 1983 to April 1985. Of the 20 cases returned to follow up, 15 cases were neurodevelopmentally normal but 5 cases were retarded with neurologic disability. Retarded case revealed higher incidence of severe asphyxia...
Upper Gastrointestinal Fiberoptic Endoscopy in Pediatric Patients.
Ki Sup Chung
Clin Exp Pediatr. 1986;29(4):387-393.   Published online April 30, 1986
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...
The Influence of Hepatitis B Virus to Neonates.
Dong Hak Shin, Rac Kyun Ro, Sung Do Yoon
Clin Exp Pediatr. 1986;29(1):51-57.   Published online January 31, 1986
To evaluate the influence of HBV to fetus, authors studied 817 pregnant women and neonates who were admitted to delivery room of Keimyung University Dongsan medical center from 1882 to 1984. The results were as follows; 1) Percent of HBsAg positive mother was 6.8% (50/817) and child bearing age was 7.8% (72/917). Percent of Anti-HBs positive was 33.9% and...
Case Report
A Case of Niemann-Pick Disease with Sea-Blue histiocytes in the Bone Marrow.
Young Sun Kim, Soo Heum Lim, Jeong Kee Seo, Hyo Seop Ahn, Hyung Ro Moon
Clin Exp Pediatr. 1985;28(12):1238-1244.   Published online December 31, 1985
A case of Niemann-Pick disease in a 12 year and 6 month old Korean male was reported. The patient showed marked hepatosplenomegaly without neurologic symptoms. Fundoscopic examination revealed a cherry-red spot with white ring in the maculae. Numerous foamy histiocytes and sea-blue histiocytes were seen in the bone marrow. The liver biopsy specimen showed the diffuse ballooning of hepatocytes obliterating...
Myelodysplastic syndrome Transformed into Erythroleukemia.
Sun Hee Kim, Don Hee Ahn, Keun Chan Sohn, Jung Il Suh, Jung Hee Um, Hea Ran Park
Clin Exp Pediatr. 1985;28(12):1231-1237.   Published online December 31, 1985
Myelodysplastic syndrome is a disorder of the marrow stem cell characterized initially by ineffective erythropoiesis, an abnormal bone marrow, and peripheral blood cytopjenia. Recently MDS was classified into 5 subtypes by the F rench-American-British (FAB) Cooperative Group: (1) Refractory anemia(R.A.), (2) RA with ring sideroblast, (3) RA with excess of blast(RAEB), (4) Chronic myelomonocytic leukemia (CMML) and (5) RAEB in transformation. We...
Original Article
Bone Marrow Cell Culture(GM-CFU) in Anaplastic Anemia of Children.
Jae Sun Jung, Chang Yee Hong
Clin Exp Pediatr. 1985;28(9):888-898.   Published online September 30, 1985
Bone marrow cell cultures (GM-CFU) were performed in the 15 cases of children with aplastic anemia and the correlation with the clinical course were investigated. They have been treated with androgen with or without low dose prednisone and supportive care. Bone marrow cell cultures from 8 children without any evidence of aplastic anemia were performed as a control. 1)In control...
Left Ventricular Function in Chronic Severe Anemia by Echocardiographic Study.
Jae Kon Ko, Chang Yee Hong
Clin Exp Pediatr. 1985;28(9):880-887.   Published online September 30, 1985
It is well known that chronic anemia is associated with hemodynamic alterations like increased cardiac output and stroke volume and decreased peripheral vascular resistance. Left ventricular size and function were studied by echocardiography in 16 chronic anemia patients, mainly aplastic anemia, without evidence of cardiac decompensation. Left ventricular dimension, stroke volume, ejection fraction and fractional shortening were calculated. The LV...
Case Report
Three Cases of Congenital Hypoplastic Anemia.
Heui Jeong Kwon, Myung Hyun Lee, Jung Hwan Choi, Hyo Seop Ahn, Chang Yee Hong
Clin Exp Pediatr. 1985;28(8):829-835.   Published online August 31, 1985
Congenital hypoplastic anemia is a rare disease characterized by aplasia or severe hypoplasia of the erythron, with onset usually at birth or during early infancy. This report presented three cases of congenital hypoplastic anemia in 3 infants with pallor and irritability which were noticed since one to three months of age. Three cases were treatsd with prednisolone and the courses of...
A Case of Congenital Hypoplastic Anemia.
Sae Jin Lee, Moon Chung Cho, Kyung Sook Cho, Doo Sung Moon, Chong Dae Cho
Clin Exp Pediatr. 1985;28(8):801-804.   Published online August 31, 1985
We observed a case of congenital hypoplastic anemia in a 10 month old male patient who was diagnosed through bone marrow aspiration. This steroid-unresponsive patient has been maintaining a concentration of hemoglobin compatible with health from supportive transfusion therapy. A brief review of related literature was made.
A Case of Neuroblastoma Originated from Mediastinum.
Suh Hong Ha, Won Kyung Kim, Kyung Tae Kim, Jung Hee Lee
Clin Exp Pediatr. 1985;28(7):714-719.   Published online July 31, 1985
Neuroblastoma is one of the most common malignant tumors in infants and children, which arises from sympathetic nervous system. We had experienced a case of neuroblastoma originated from mediastinum and metastized to bone & lymph node.
Original Article
Clinical Studies on Interstitial Pneumonitis in Children.
Young Yull Ko, Kwang Wook Ko, Jw Geun Chi
Clin Exp Pediatr. 1985;28(7):663-673.   Published online July 31, 1985
Interstitial pneumonitis is a rare, diffuse lung disease characterized by varing combinations of two histological features: thickening of alveolar walls and the presence of large mononuclear cells in the alveolar spaces. 4 cases with interstitial pneumonitis, admitted to the Pediatric Department of Seoul National University Hospital during the period from Jan. 1979 through. May, 1985 were reviewed clinically. The results...
Case Report
A Case of Peutz-Jeghers Syndrome.
Sang Kie Kim, Choon Ho Park, Jin Heon Kim, Keun Chul Myung, Chang Soo Ra
Clin Exp Pediatr. 1985;28(6):622-626.   Published online June 30, 1985
Peutz-Jeghers syndrome, also known as intestinal polyposis II, is a familial condition characterized by the triad of (1) mucocutaneous pigmentation, (2) benign polyps occuring in any part of the intestinal tract but mainly in the jejunum, and (3) autosomal dominant inheritance. This syndrome was first reported by Peutz in 1929. Following reemphasis by Jegers in 1949, it became a definite...
A Case of Acute Megakaryoblastic Leukemia.
Hye Sun Jung, Ha Baik Lee, Hahng Lee, Chong Moo Park
Clin Exp Pediatr. 1985;28(4):390-395.   Published online April 30, 1985
Acute megakaryoblastic leukemia in a very rare type of leukemia characterized by megakaryoblatic proliferation and organ infiltration without proliferation of other marrow elements. The authors experienced a case of acute megakaryoblastic leukemia in a 3 9/12 year-old female patient on admission. Acute leukemia was suspected because blast cells were found in peripheral blood smear, and there was hepatosplenomegaly. Bone marrow...
Original Article
Peumomediastinum in the Newborn.
Dong Gwan Han
Clin Exp Pediatr. 1985;28(3):217-224.   Published online March 31, 1985
A retrospective review was performed of 15 medical records to study the pneumomedia- stinum in the newborn during last 4 years from Jan. 1980 through Dec. 1983 at Severance Hospital of Yonsei University. Tne results were as follows： 1) The incidence was 0.14% (15 of 8,737 live-births) during the neonatal period. Of those cases spontaneous pneumomediastinum was 66.7%(10 cases) and secondary pneumomedia- stinum 33.3%(5 cases). Males were...
Statistical Observation for Pediatric Inpatients.
Jeong Ran Park, Young Hi Park, Je Hoon Shin, Gee Hi Kang
Clin Exp Pediatr. 1985;28(3):206-210.   Published online March 31, 1985
The Author observed patients admitted to the pediatrics of Dong Bu City Hospital from. Mar. 1983 to Feb. 1984. The results were as follows: 1)The total numbers of pediatric inpatients was 194 including male 110, female 84 and. male to female ratio was 1.31 : 1. 2)In age distribution, the neonates and infants occupied 75(38.6%) of total inpatients. 3)Seasonal distribution revealed high...
Case Report
A case of Infantile Polycystic kidney.
Ae Sook Kim, Soon Bock Park, Young Gun Kim, Kwan Hwooy Cho, Jong Soo Kim
Clin Exp Pediatr. 1985;28(2):191-196.   Published online February 28, 1985
Infantile polycystic kidney is uncommon disease and rare in children and is used to refer to a group of heritable conditions that occur predominantly in childhood and is transmitted by autosomal recessive inheritance. By developmental abnormality, multiple cysts are produced from enlargement or giantism of the collecting tubules in association with cellular hyperplasia. Kidneys are grossly enlarged and have a diffusely...
Original Article
Secondary Pneumothorax in the newborn.
Dong Gwan Han
Clin Exp Pediatr. 1985;28(2):123-130.   Published online February 28, 1985
Clinical records of 25 neonates with secondary pneumothorax were reviewed retrospectively during last 6 years from Jan. 1978 through Dec. 1983 at Pediatric Department of Yonsei University Hospital. The following results were obtained; 1)The incidence of secondary pneumothorax was 0.16% (21 out of 12,864 live-birth) during the neonatal period. The incidence tended to increase since we had set up the neonatal,...
Case Report
Two Cases of Hand-Schuller-Christian Disease in Monozygotic Twin.
Pyoun Han Hwang, Ju Hyung Kim, In Soo Choi, Jung Soo Kim
Clin Exp Pediatr. 1985;28(1):85-89.   Published online January 31, 1985
Authors experienced two cases of Hand-Schuller-Christian disease developed simultaneously in 35 month old male monozygotic twin. So we report with literature review briefly as follow. The elder had the complaints of polyuria, exophthalmos, skin lesion. The younger had the complaints of mild exophthalmos and skin lesion. They were confirmed by clinical and pathological features and radiological examination. But patients died...
Two cases of Aplastic Anemia Following Hepatitis.
Chang Yeol Jeon, Beyung Sang Choi, Hyeon Sook Lee, Jung Soo Kim
Clin Exp Pediatr. 1985;28(1):73-77.   Published online January 31, 1985
Recently, we experienced two cases of aplastic anemia following hepatitis in 6 and 12year old boys. A 6 year old boy was admitted to Jeonbug National University Hospital in Dec. ’82, because of frequent expistaxis and petechiae on entire body. He had a history of hepatitis 2 months ago. On admission liver function was normal and pancytopenia was revealed. Bone...
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