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Original Article
Henoch-Scholein Purpura Presenting with Acute Abdominal Pain Preceding Skin Rash : Review of 23 Cases
Ju Young Chang, Yong Joo Kim, Kyo Sun Kim, Hee-Ju Kim, Jeong Kee Seo
Clin Exp Pediatr. 2003;46(6):576-584.   Published online June 15, 2003
Purpose : For the early diagnosis of Henoch-Schonlein purpura(HSP) presenting with acute abdominal pain preceding skin rash. Methods : The clinical, endoscopic and radiological records of 23 cases of HSP, presenting with gastrointestinal symptoms preceding skin rash were reviewed. Results : The intervals from the onset of abdominal pain to the development of the skin rash were one day to 30 days(median...
Case Report
A Case of Primary Epiploic Appendagitis
Tae Young Ha, Chi Kwan Kim, Jin Young Jeong, Jong Hwa Lee
Clin Exp Pediatr. 2002;45(8):1024-1027.   Published online August 15, 2002
Epiploic appendages are small, 0.5-5 cm long, peritoneal pouches containing small vessels and fat, located on the serous surface of the colon, from the cecum to the rectosigmoid junction. Pathologic states are rare in these appendages, the most frequent being is infarction either due to torsion or spontaneous. As a result of subsequent inflammatory reaction, the condition has been termed...
Original Article
Red Blood Cell Indices, Serum Iron and Total Iron Binding Capacity in Children with Helicobacter pylori Infection
Soo Joon Park, Chang Han Lee, Ki Sup Chung
Clin Exp Pediatr. 2000;43(6):755-762.   Published online June 15, 2000
Purpose : H. pylori infection was recently reported to be associated with unexplained iron-deficiency anemia(IDA) in children and adolescents. H. pylori-related IDA was thought to occur due to GI blood loss, scavenging of iron by H. pylori and iron malabsorption. The aim of this study was to examine how the status of H. pylori infection and age of children affected...
Construction and Application of Painting probe for Chromosome band 5q14-q15, 6q23, 16p11.2 and 22q12
Soo-Yeun Park, So Young Park, Joon-Il Kil, Yong-Hyuck Chun, Sun-Hwa Park
Clin Exp Pediatr. 2000;43(2):179-187.   Published online February 15, 2000
Purpose : Chromosome microdissection has become a very powerful approach to generate chromosome band-specific library and painting probes for physical mapping or cytogenetic analysis. We have constructed here band-specific painting probes for human chromosomes by microdissection and polymerase chain reaction(PCR). Methods : We pretreated the microdissected fragments with Topoisomerase I(Topo I) which catalyzes the relaxation of supercoiled DNA, and performed...
Case Report
A Case of Extrapelvic Endometriosis with Abdominal Pain in a 13-Year-Old Girl
Sung Pil Jang, Yong Dae Ham, Jin Hwa Jung, Jeong Ho Lee
Clin Exp Pediatr. 1999;42(10):1467-1470.   Published online October 15, 1999
Original Article
Pain Reduction Effects of Continuous Fentanyl Infusion to Intensive Care Neonates
Wi Kyung Hwang, Heng Mi Kim
Clin Exp Pediatr. 1999;42(5):657-665.   Published online May 15, 1999
Purpose : To determine whether pain control using fentanyl would effectively reduce behavioral distress, physiologic and hormonal responses to postoperative pain and mechanical ventilation in neonates. Methods : Neonates who were admitted to the NICU(neonate intensive care unit) of Kyungpook University Hospital, requiring surgery or mechanical ventilation were evaluated. Twelve neonates undergoing operation were randomised into two groups. After operation, one...
Relationship of Recurrent Abdominal Pain Syndrome and Gastric Emptying Time
Eui Jun Yang, Jae Hong Park, In Ju Kim
Clin Exp Pediatr. 1998;41(11):1538-1548.   Published online November 15, 1998
Purpose : Recurrent abdominal pain syndrome(RAPS) is not uncommon in school-aged children, but the etiology and pathogenesis are not understood well. But recent studies suggest that motility disorder makes up a majority of the pathogenesis. The aim of this study was to investigate gastric emptying time(GET) which is a method to evaluate gastrointestinal motility in patients with recurrent abdominal pain...
Case Report
A Case of Congenital Insensitivity to Pain with Anhidrosis
Munhyang Lee, Nam Seon Beck, Dongkyu Jin, Yeon-Lim Suh
Clin Exp Pediatr. 1997;40(11):1621-1626.   Published online November 15, 1997
Congenital insensitivity to pain with anhidrosies (CIPA) is one of the exceedingly rare hereditary sensory autonomic neuropathies (HSAN). There are five types of HSAN according to hereditary transmission, natural history, clinical manifestations, and pathologic findings. The CIPA corresponds to type IV and is characterized by episodes of recurrent fever with generalized anhidrosis, insensitivity to pain and temperature with self-multilation, and mental retardation. We report a 14...
Original Article
Colonic Transit Time in Children with Recurrent Abdominal Pain
Je Woo Kim, Ki Sup Chung
Clin Exp Pediatr. 1997;40(11):1544-1551.   Published online November 15, 1997
Purpose : Recurrent abdominal pain is defined as the presence of at least three discrete episodes of pain occurring over a period of 3 or more months. The reported prevalence is high up to 15% of school aged children. Mostly the pain results from functional dysmotility of the intestine but not much studies has been done. Thus we studied segmental colonic transit time(CTT)...
Neonatal Facial and Cry Responses to Invasive and Non-invasive Procedures
Seon Hwa Seo, Young Pyo Chang
Clin Exp Pediatr. 1997;40(11):1520-1528.   Published online November 15, 1997
Purpose : The evaluation of pain in neonates is difficult due to their limited means of communication. The aim of this study was to determine whether the behavioral reactions of facial action and cry provoked by an invasive pain-induced procedure could be discriminated from the reactions to a noninvasive pain-induced procedure in normal full-term neonates. Methods : Thirty-six healthy full-term neonates received three pain-induced...
Case Report
Ectopic Pancreas of Stomach in a Child with Recurrent Abdominal Pain
Hyun Chul Bae, Je Woo Kim, Ki Sup Chung, Dong Hwan Shin
Clin Exp Pediatr. 1997;40(8):1178-1182.   Published online August 15, 1997
Ectopic pancreas is a rare congenital anomaly defined by the presence of pancreatic tissue that lacks anatomic and vascular continuity with the main body of the pancreas. A 11-year-old girl was admitted to the Department of Pediatrics, Yonsei University College of Medicine with the history of recurrent abdominal pain for 2 years. We performed fiberoptic endoscopy which showed a 1.5¡¿1.5cm sized polypoid mass, and...
Original Article
Clinical Manifestations of Recurrent Abdominal Pain May Differ with Helicobacter pylori Infection in Children
Nam Seon Beck, I-Seok Kang
Clin Exp Pediatr. 1997;40(7):965-973.   Published online July 15, 1997
Purpose : The role of H. pylori in the pathogenesis of recurrent abdominal pain in children is uncertain. In order to find a correlation between H. pylori infection and recurrent abdominal pain in children, the present study was designed to compare the clinical manifestations between recurrent abdominal pain children with and without H. pylori infection and to investigate the effects of H. pylori eradication...
Analgetic Effect of Chloral Hydrate in Pain Induced by Spinal Tap in Neonates
Eun Jin Choi, Heng Mi Kim
Clin Exp Pediatr. 1997;40(7):925-930.   Published online July 15, 1997
Purpose : The need for analgesia in neonates during and after surgery has been widely accepted in the past decade. Pain relief and sedation are still rarely used during minor treatment procedures in the neonatal intensive care units. However, many diagnostic and treatment procedures in the neonatal intensive care unit are noxious and often painful, and highly stressful for sick neonates. Methods : A prospective...
A Clinical Study on Back Pain after Lumbar Punctureon Aseptic Meningitis
Jai Young Kim, Won Hee Kim, Sung Wook Jung, Sung Won Kim
Clin Exp Pediatr. 1997;40(2):233-239.   Published online February 15, 1997
Purpose : This study is to assess the occurence rate, severity, and duration of the back pain after lumbar puncture. Methods : The occurence rate, severity and duration of the back pain that developed after lumbar puncture were recorded prospectively in patients with aseptic meningitis who had been admitted to the department of Pediatrics, St. Benedict Hospital in Pusan, from May 1993 to July...
Recurrent Abdominal Pains:A Field Survey of 1,783 School Children in Seoul
Yong Hwan Cho, Byung Duk Seo, Yong Joo Kim, Nam Su Kim, Hahng Lee
Clin Exp Pediatr. 1997;40(2):199-208.   Published online February 15, 1997
Purpose : We investigated the occurrence rate of recurrent abdominal pain(RAP) in general population of elementary school children, accompanied symptoms, symptomaggravating factors such as emotional stresses, food and personality characters, which time of day the pain develops and whether they visited hospital for RAP. Methods : From 1995. 4. 27. to 1995. 5. 12. questionnaires were given to the parents of 1,783...
Helicobacter pylori Infection and Various Upper Gastrointestinal Diseases in Children with Abdominal Complaint
Hyun Young Kim, Ki Sup Chung
Clin Exp Pediatr. 1996;39(3):361-369.   Published online March 15, 1996
Purpose : The purpose of this study was to research the incidence of H. pylori infection in children with upper gastrointestinal complaints according to age, sex, and diseases diagnosed by endoscopy. This study was also aimed at evaluating the usefullness of diagnostic methods, and to assess the effectiveness of treatment. Methods : Upper gastrointestinal endoscopy and gastric mucosal biopsy were performed...
A Clinical Evaluation of the Gastrofiberscopy Studies in Children
Jung Ah Park, Young Ho Ahn, Jin Bok Hwang, Chang Ho Han, Hai Lee Chung, Young Dae Kwon, Jae Bok Park
Clin Exp Pediatr. 1995;38(11):1498-1505.   Published online November 15, 1995
Purpose : This study aimed to provide, as basic material, the experience of gastrofiberscopy in children and the clinical significance of Helicobacter pylori(H. pylori) infection in pediatric gastrointestinal disease. Methods : The objects were 99 patients(male 49, female 50) who underwent gastrofiberscopic examination in case of endoscopic indication at department of pediatrics of Taegu Hyosung Catholic University Hospital from March 1993...
Circumcision, Neonates, Pain sensation
In Rok Do, Jeong Ho Lee, Yong Sub Kim, Jong Dae Jo
Clin Exp Pediatr. 1995;38(10):1324-1328.   Published online October 15, 1995
Purpose : Routine neonatal circumcision has widely performed without anesthesia under the assumption that the penis of neonates does not yet have functioning pain sensory nerve endings at this early stage of development, and has decreased the incidence of neonatal urinary tract infection. This study was performed to evaluate whether neonates recognize pain during opertion of circumcision without anesthasia. Methods :...
Recurrent Abdominal Pain in Children: Endoscopic Findings and Helicobacter pylori Infection
Cheol Ho Chang, Churl Young Chung
Clin Exp Pediatr. 1995;38(1):47-53.   Published online January 15, 1995
Purpose : Recurrent abdominal pain (RAP) in children is similar to nonulcer dyspepsia of adult. Recently, microscopic inflammation and Helicobacter pylori (H. pylori) infection have been suggested as possible causes of nonulcer dyspepsia in adults. The aim was to know the clinical significance of encoscopic findings and H. pylori infection in children with RAP. Methods : 128 children with RAP underwent...
Gastrofiberscopic Findings and Helicobacter pylori Gastritis in Children with Recurrent Abdominal Pain
Jeong Kee Seo, Je Geun Chi, Eui Chong Kim
Clin Exp Pediatr. 1992;35(12):1646-1656.   Published online December 15, 1992
Gastrofiberscopic findings and the presence of Helicobacter pylori (H. pylori) were studied prospectively in children with recurrent abdominal pain (RAP). Endoscopic findings in 707 children with RAP revealed that 243 children (34.3%) showed abnormal findings including gastritis in 16.9%, duodenitis in 10.4%, esophagitis in 5.7%, duodenal ulcer in 5.7%, and gastric ulcer in 1.1% of children with RAP. Endoscopic biopsy of...
Acute renal failure with back pain after exercise.
Hae Jung Park, Mi Jung Kim, Dong Kyu Jin, Hae Il Cheong, Yong Choi, Kwang Wook Ko, Jung Mi Park, Kyung Mo Yeun
Clin Exp Pediatr. 1991;34(6):863-868.   Published online June 30, 1991
We have experienced one case of acute renal failure without clinical rhabdomyolysis characterized by preceding exercise and back pain. This patient showed patch renal increased uptakes in bone scan with 99mTechnetium-methylene diphosphonate, and delayed wedge-shaped contrast enhancements in renal computed tomography. These findings can be explained by focal renal vasoconstriction of interlobar arteries or arcuate arteries, which may be considered as one of the...
Clinical Study of Chest Pain in Children.
Jeong Ho Kim, Han Ku Moon, Jin Gon Jun
Clin Exp Pediatr. 1990;33(11):1526-1532.   Published online November 30, 1990
Clinical study was performed prospectively on 63 cases of chest pain who had been visited to Department of Pediatrics, College of Medicine, Yeungnam University during the period of three years from March, 1987 to February, 1990. The results were as follows: 1) Chest pain was most common in the age group of 10 to 12 years old as whole and the ratio of male to female...
Upper Gastrointestinal Fiberoptic Endoscopy in Children.
Dong Hyup Lee, Chong Woo Bae, Yong Mook Choi, Chang Il Ahn, Young Il Min
Clin Exp Pediatr. 1987;30(8):868-873.   Published online August 31, 1987
We observed 63 cases ranging in age from 3 years to 15 years seen by gastrofibroscopy in Dept, of Int. Med. and Dept, of Ped. of Kyung hee Univ. Hospital from January 1980 to December 1985 and following results were obtained 1) The male to female ratio was about 1:1.17. The frequency of the age distribution was 1.6% below 5 years, 25.4% in 6-10 years...
Case Report
Intermittent Hydronephrosis.
Hong Kun Kim, Woo Gill Lee, Soo Jee Moon
Clin Exp Pediatr. 1987;30(7):805-811.   Published online July 31, 1987
Episodic flank or abdominal pain with or without nausea and vomiting is most common manifesta- tion of intermittent hydronephrosis. Between episodes of pain, the patient may be asymptomaitc and intravenous urogram usually will be normal. This condition is diagnosed by intravenous urogram or ultrasonogram taken either during episodes of pain or after hydronephrosis precipitated by use of duretics or ingestion of alcoholic beverage, particulary...
Abdominal Pain, Suspicious Peptic Ulcer and Psychologic Problem.
Kwang Sin Joh, Chang Hyun Yang, Yong Back Kwon, Ki Sup Chung, Duk Jin Yun, Kyung Hee Kim
Clin Exp Pediatr. 1986;29(4):426-430.   Published online April 30, 1986
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...
Original Article
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...
Psychologic Disorders Among Pediatric Outpatients (Part I).
Hyung Ro Moon
Clin Exp Pediatr. 1981;24(5):477-484.   Published online May 15, 1981
One hundred and twenty-seven children with psychologic problems were encountered by the author at twice weekly morning walk-in clinics of the pediatric department of Seoul National University Hospital during the nine months period from January through September 1980. Diagnostic clues for psychogenic origin of various somatic complaints were obtained from complete history taking, thorough physical examination, tests and laboratory procedures...
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