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Original Article
Two Cases of Hemolytic Uremic Syndrome.
Sook Hee Lee, Dong Jin Lee, Ja Hoon Koo, Doo Hong Ahn, Young Jin Kim
Clin Exp Pediatr. 1984;27(4):384-389.   Published online April 30, 1984
The hemolytic uremic syndrome is a clinical state characterized by uremia, thrombocytopenia and microangiopathic hemolytic anemia. Since the first description of this illness by Gasser in 1955, it has been recognized with increasing frequency. Recently, we have experienced 2 cases of severe hemolytic uremic syndrome occurring in boys in 5 and 6 years of age. Diagnosis was established by typical...
Clinical Observation of Acute Lymphocytic Leukemia with Mediastinal Mass.
In Sil Lee, Hyo Seop Ahn, Chang Yee Hong
Clin Exp Pediatr. 1984;27(4):343-349.   Published online April 30, 1984
Twenty four cases of acute lymphocytic leukemia with mediastinal mass were studied at the Department of Pediatrics, Seoul National University Hospital from September 1965 to August 1983. Analysis were done with regard, to age, sex, chief complaints, organ size (liver, spleen and lymph nodes), initial hemoglobin, white blood cell and platelet count, initial bone marrow findings and lymphoblast surface markers....
Clinical Observation about complications(Especially about Mortality Cases) in Childhood Primary Nephrotic Syndrome.
Hae ll Cheong, Yong Choi, Kwang Wook Ko
Clin Exp Pediatr. 1984;27(3):246-252.   Published online March 31, 1984
Among 350 children who had been admitted to the Ward of Pediatrics, Seoul National University Hospital during the period from 1975.1.1. to 1983.12.31. and had been diagnosed as idiopathic nephrotic syndrome, total 21 cases (6%) had expired or had progressed into end stage renal disease during follow-up. Among these, 13 cases(61.9%； Group A) had expired due to chronic renal failure...
Case Report
A Case of Supravalvular Stenotic Ring of the Left Atrium associated with VSD and PDA.
Chung Il Noh, Jung Yun Choi, Yong Soo Yoon, Chang Yee Hong, Kyung Mo Yeon, Joon Ryang Rho
Clin Exp Pediatr. 1984;27(2):184-190.   Published online February 28, 1984
Supravalvular stenotic ring of the left atrium is one of the rare anomalies, which is usually accompanied by other cardiac defects. It is very important to recognize its existence earlier and preoperatively. Main tools in. diagnosis are angiocardiography and echocardiography. We have experienced a patient with supravalvular stenotic ring of the left atrium with coexisted with VSD and PDA. M-mode...
A Case of Chronic Active Hepatitis with Vertical Transmission.
T H Son, T S Song, H J Park, M J Shin, J G Chi
Clin Exp Pediatr. 1984;27(2):164-169.   Published online February 28, 1984
We experienced a case of Chronic Active Hepatitis with vertical transmission in a 4-year-3-month old boy. Diagnosis of CAH was confirmed by histologic features of liver biopsy. The mode of infection in this case was suspected as vertical transmission by clinical history. His mother had acute hepatitis B in the last trimester of the pregnancy of this boy and had...
A Case of Acardius Twin.
Kyung Hyo Kim, Jung Soo Park, Mina Lee, Hye Kyung Lee, Sung Sik Shin, Je G Chi
Clin Exp Pediatr. 1984;27(1):84-88.   Published online January 31, 1984
A case of acardiac twins to a 30 year-old primiparous mother is presented. This case was diagnosed to have this anomaly by ultrasonography at 28 weeks and 33 weeks of gestation. The acardiac monster was delivered as the second twin without any signs of Life. It weighed 2,175 gms and was connected to the placenta by an umbilical cord having...
Original Article
Clinical Significance of Selectivity Index in Nephrotic Syndrome.
Hoan Jong Lee, Hee Jin Kim, Yong Choi, Kwang Wook Ko
Clin Exp Pediatr. 1984;27(1):68-73.   Published online January 31, 1984
Slectivity I nd ices (CIgG/Ctransf erri n) of 114 nephrotic children, who were admitted to the Pediatric ward of SNUH from January, 1979 to December 1982, were, analyzed in relation to pathology, response to steroid treatment and the variability in the individual patients. In Summary 1)83% of MPGN, and 74% of FSGS showed S.I of more than 0.2 while 36%...
A Clinical Study of ABO Hemolytic Disease.
Hong Gyu Park, Bu Kwun Chung, Jong Doo Kim, Myung Hi Shin, Ji Sub Oh
Clin Exp Pediatr. 1984;27(1):50-60.   Published online January 31, 1984
Clinical study was made on 125 newborn infants who were suffered from ABO hemolyti(diseases at Wallace Memorial Baptist Hospital during the pericd cf 3 years frcm January 1980 to December 1982. The following results were obtained 1)Of 9,805 liveborn delveries, 3,094(31.6%) mothers had 0 type blood group and 1,425 (14.5%) neonates bad ABO inccmpatibility. Of these 125 necnates suffered frcm hemolytic...
Clinical Assessment of Extrahepatic Biliary Atresia and Neonatal Hepatitis.
Chong Ku Yun, Eue Cho Yang
Clin Exp Pediatr. 1984;27(1):33-42.   Published online January 31, 1984
A clinical assessment was carried out in 37 cases with Extrahepatic biliary atresia (EHBA) and 35 cases with Neonatal hepatitis (NH), who were admitted to the Dept, of Pediatrics and Pediatric Surgery, Seoul National University Hospital, during the 30 months from January 1980 to June 1982. The following results were obtained; 1)By sex distribution, 40% of EHBA and 69% of NH...
Statistical Observation for Pediatric Inpatients.
Keun Chan Sohn, Sung Sook Cho, Kwang Chan Doh, Yong Choi, Ki Sub Chung, Dong Hyuk Kum, Sung Taek Kim
Clin Exp Pediatr. 1984;27(1):1-8.   Published online January 31, 1984
We observed patients admitted to the department of Pediatrics of 24 general hospitals in Korea during the past five years from Jan. 1976 to Dec. 1980 and classified them, by year & 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 was 138,136 with about 10% yearly...
Case Report
A Case of Dysplastic Kidney and Hydroureter with Distal Treterl Atresia.
Eun Mi Kim, Jei Hoon Yoo, Dong Whan Lee, Sang Jhoo Lee, Dong Wha Lee, Deuk Yong Kang
Clin Exp Pediatr. 1983;26(12):1254-1258.   Published online December 31, 1983
We presented a case of dysplastic kidney and Hydroureter with distal ureteral atresia and reviewed the literatures. This 5 year old male patient with abdominal mass for 3 years was admitted and took explo-laparotomy. The diagnosis was confirmed by explo-laparotomy and microscopic finding. Characteristic microscopic findings of dyaplastic kidney on present case are; 1) Primitive duct, ductules and glomeruli. 2) Duct was lined by cuboidal or columnar...
A Case of Stomach Perforation during the Therapy of Rheumatic Carditis.
Young Ju Lee, Man Jin Chung, Soon Ok Byun, Myung Hi Shin, Ji Sub Oh
Clin Exp Pediatr. 1983;26(12):1241-1246.   Published online December 31, 1983
We experienced acute stomach perforation in a 10 years old boy who suffered from rheum- atic carditis and treated with penicillin, aspirin and prednisolone. A brief review of literature was done.
A Case of Histiocytic Medullary Reticulosis in 17 Month-old Child.
Oh Kyung Lee, Wan Seob Kim, Myung Ho Lee, Sung Seek Lee, Sook Ja Park
Clin Exp Pediatr. 1983;26(12):1220-1225.   Published online December 31, 1983
Histiocytic medullary reticulosis(HMR) is a rare, uniformly fatal, acute disease of the reticuloen dothelial system. Major features are fever, malaise, weakness, weight loss, lymphadenopathy, hepatosplenomegaly, jaundice and purpura. Common laboratory finding is severe pancytopenia. Cardinal pathologic feature is proliferation of atypical, neoplastic, erythrophagocytic histiocytes. Recently we experienced a case of HMR in 17 month-old male child. The clinical findings and...
Original Article
A Survey of HBs Antigenemia Among Healthy Primary and Middle Children, Pregnant Women in Kyungpook Province.
G H Jun, J J Kim, D H Shin, S D Yoon
Clin Exp Pediatr. 1983;26(12):1188-1195.   Published online December 31, 1983
The prevalence of hepatitis B surface antigen in various regions of the world is estimated to range from 0.1% low to 15% high. The area with high prevalence is the west pacific region. The carrier rate of hepatitis B surface antigen among 897 healthy primary and middle school children in Taegu City, Korea was investigated in November, 1982. Another sample of 729...
Case Report
A Case of Acute Lymphocytic Leukemia with Both Renal Enlargement.
Bok Hee Oh, Young Hoon Soung, Woo Gill Lee, On Koo Cho
Clin Exp Pediatr. 1983;26(11):1149-1153.   Published online November 30, 1983
A Case of acute lymphocytic leukemia with both renal enlargement found l^year old female has been presented. After treatment , acute lymphocytic leukemia with chemotherapeutic agent, the size of both kidneys were decreased and returned to normal shape by ultrasonogram series. A brief review of the literature was made on this subject.
A Case of Hereditary Spherocytosis.
Eui Lim Choi, Chul Hwan Park, Tae Gyu Hwang, In Soon Park, Soon Yong Lee
Clin Exp Pediatr. 1983;26(11):1120-1124.   Published online November 30, 1983
We observed a case of hereditary spherocytosis who was a 4-month-old boy with the chief complaints of jaundice and pallor. Evidence of the same disease was also found in the patient` s father who had never been symptomatic. Diagnosis was made by presence of spherocytes in peripheral blood smear, osmotic fragility- test and autohemolysis test. A brief review of literatures was made.
A Case of Collodion Baby.
Jae Gye Ryoo, Hong In Eum, Sang Cheal Lee, Jung Hee Lee
Clin Exp Pediatr. 1983;26(11):1115-1119.   Published online November 30, 1983
Ws expsrienced a ca.ss of Collodion Baby of 6 hours old female infant who was suffering from excs33ive lamellated scale, tight looking appearance and covering entire, body, typical features of parchment like skin, ectropion of upper and lower eyelids and fixed semiflexion position of the limb3. Diagnosis of Collodion Baby was established by clinical features and histopathological studies. A brief review of literature was made.
One Case of Ectopic Pancreatic Tissue with Gastroschisis.
Hyun Sook Yoon, Min Suk Hyun, Jhoeng Hee Hahn, So Won Ahn, Jung Woo Yang
Clin Exp Pediatr. 1983;26(10):1009-1012.   Published online October 31, 1983
The author’s experience of a case of ectopic pancreatic tissue associated with gastroschisis is reported. A 3,140 grm full term female infant with gastroschisis was born at II Sin Women’s Hospital but operation was delayed due to lack of permission until the 3 rd day of life. At operation an incidental finding was a relatively firm, oval, brownish mass on the wall of the proximal...
Original Article
Hyperlipidemia and Hyperlipoproteinemia in Focal Segmental Glomerulosclerosis Nephrotic Syndrome.
Heui Jeen Kim, Kwang Wook Ko
Clin Exp Pediatr. 1983;26(10):967-977.   Published online October 31, 1983
Sera obtained from 23 hospitalized patients with focal segmental glomerulosclerosis nephrotic syndrome which is confirmed by kidney biopsy, were analyzed for serum albumin, serum lipids, 24hr urine protein, creatinine clearance, HDL-cholesterol. In 19 of the patients lipoproteins were analyzed. the following results were obtained. 1) Serum phospholipid (PL) was increased whenever serum total cholesterol (TC) was increased but to a lesser degree. The ratio of TC/PL...
Case Report
A Case of Cushing's Syndrome.
Seong Ja Jeon, Oh Kyung Lee, Keun Chull Choi, Myung Ho Lee, Jong Deok Kim
Clin Exp Pediatr. 1983;26(9):928-933.   Published online September 30, 1983
We experienced a Cushing’s syndrome which was caused by adrenocortical carcinoma in 8-year-old boy. He has suffered from obesity, moonface and growth retardation for 2 years. The diagnosis was confirmed by clinical symptoms, biochemical studies, X-rays and pathologic examinations. A total adrenalectomy was impossible because of far extended mass to adjacent organ, so only tissue biopay was done. After surgery, he received radiation...
A Case of Aplastic Anemia Following Hepatitis.
Woo Yeong Chung, Seung Won Park, In Soon Park, Chul Ho Kim, Soo Yong Lee
Clin Exp Pediatr. 1983;26(8):812-815.   Published online August 31, 1983
We experienced a case of aplastic anemia following hepatitis in a 11-year old male child. He was admitted because of pallor and gum bleedings with an episode of hepatitis 2 months prior to this admission. On admission CBC showed pancytopenia and there was marked hypocellularity of all hematopoietic elements in bone marrow aspiration. Transfusion and treatment with prednisolone and oxymetholone were tried but...
Original Article
Statistical Analysis of 1,349 Cases of In-Patients with Various Tuberculosis in Korea.
Jin Woo Hahn, Jae Hoon Shin, Woo Gill Lee
Clin Exp Pediatr. 1983;26(8):778-785.   Published online August 31, 1983
We studied retrospectively the charts of 1,162 in-patients (that is 1,349 lesions) under 20 years of age who were hospitalized with various tuberculosis in Hanyang University Hospital from May 1972 to December 198L The results of the observation are as follows: 1. Annual distribution of 1,162 patients with tuberculosis revealed little fluctuation over the years. 2. The age and sex distribution of tuberculosis is as follows: The...
Case Report
A Case of Congenital Cystic Adenomatoid Malformation of Lung Associated with Fetal Ascites.
In Soon Lee, Un Hee Choi, Woon Sik Kim, Heum Rea Park
Clin Exp Pediatr. 1983;26(7):722-725.   Published online July 31, 1983
Cystic adenomatoid malformation is a specific form of cystic lung disease characterized by a cuboidal and columnar epithelium. Reported cases had anasarca or polyhydramnios. We have experienced a case of cystic adenomatoid malformation of lung associated with. fetal ascites and reviewed the pertinent literatures briefly.
A Case of Congenital Hypoplastic Anemia.
D S Moon, D K Na, J D Jo, I S Jun, M H Huh
Clin Exp Pediatr. 1983;26(5):499-503.   Published online May 31, 1983
The Authors report A Case of Congenital Hypoplastic Anemia with congenital megacoloit in a about one month old male infant who was admitted because of abdominal distension, failure of passing meconium for 96 hours and pale anemic face. This syndrome was diagnosed by clinical and laboratory findings: normochromic anemia, reticulocytopenia, developing early infant, bone marrow with normal cellularity and deficiency of red cell precursor. A...
Original Article
Study of Urinary Lactic Dehydrogenase and Isoenzyme Patterns in Patients with Urinary Tract Infection.
Eui Soo Park, Jeh Hoon Shin, Woo Gill Lee
Clin Exp Pediatr. 1983;26(5):463-469.   Published online May 31, 1983
The site of the infection is an important factor in the evaluation of the course and prognosis of patients with urinary tract infection (UTI) since patients with bacteriuria of renal origin are probably at risk of developing the renal parenchymal reduction seen in some of these patients. So direct and indirect methods have been developed to accomplish precise location of the...
Prevalence Rate of Shigella Subgroup Infection & Changing Pattern of Their Antibiotics Susceptibility During Last Twenty Years.
Kyung Sin Kim, Myung Sung Moon, Keun Soo Lee
Clin Exp Pediatr. 1983;26(5):455-462.   Published online May 31, 1983
Among bacterial enteritis of hospitalized Korean children, shigellosis was the most frequent diarrheal disease. During the ten-year period(1972〜 1981), 319 strains of shigella were isolated from 319 different diarrheal patients; 261 of 319 strains(81.8%) were Shigella flexneri, 49(15.3%) were S.sonnei, 5 and 4(1.5% & 1.2%) were S. boydii and S. dysenteriae, respectively. Every year S. flexneri appeared to be the most frequent...
Case Report
A Successful Repair of Interrupted Aortic Arch.
Dong Su Kim, Du Yung Lee, Jun Hee Sul, Sung Kyu Lee, Kyu Ok Choi, Bum Koo Cho, Dong Sik Chin
Clin Exp Pediatr. 1983;26(4):386-391.   Published online April 30, 1983
This is a case report of Interrupted aortic arch combined with large ventricular septaldefect and patent ductus arteriosus. This 5 years old girl, she was complained of frequent upper respiratory infections, exertional dyspnea from 6 months age. The diagnosis was confirmed by cardiac catheterization and angiocardiography. Pressure of main pulmonary artery was 80/50 (63) mmHg, and that of descending aorta was 75/45(60)mmHg (Qp...
Original Article
Study of Serum Lipids and Lipoprotein in Patients with Nephrotic Syndrome.
Eui Soo Park, Jeh Hoon Shin, Woo Gill Lee, Chong Moo Park
Clin Exp Pediatr. 1983;26(4):349-357.   Published online April 30, 1983
The nephrotic syndrome is characterized by generalized edema, hypoproteinemia (serum albumin; below 2.5 gm/dl), hyperlipidemia (serum cholesterol; above 220 mg/dl), massive proteinuria (2.0 gm/M2/24 hrs or more). For causes of hyperlipidemia, decreased plasma lipoprotein lipase activity and decreased serum albumin have been postulated as contributing factors. So the serum lipids and lipoproteins were studied in 24 patients with nephrotic syndrome...
Case Report
Three Cases of Insulin Dependent Diabetes Mellitus in Children.
Tae Hoon Lee, Sang Chul Park, Chang Hwi Kim, Sang Man Shin, Sang Jhoo Lee
Clin Exp Pediatr. 1983;26(3):285-289.   Published online March 31, 1983
We experienced three cases of Insulin Dependent Diabetes Mellitus, which revealed fullfilling- all characteristics of clinical 技 laboratory finding during recent 3 years. Two diabetic children among three patients had developed diabetic ketoacidosis. The one of the two cases, 14 aged girl complained of dyspnea & severe emaciation. The another case, 11 year and 2 month-old boy who had cataract complained of severe epigastric pain,...
A Case Report Kostmann Syndrome.
Han Wook Yoo, Son Moon Shin, Hyo Seop Ahn, Yong Choi, Chang Yee Hong
Clin Exp Pediatr. 1983;26(3):284-288.   Published online March 31, 1983
Kostmann syndrome (Infantile genetic agranulocytosis), a disease characterized by recurrent infections leading to death in infancy, shows an agranulocytosis with variable monocytosis, eosinophilia in the peripheral blood, accompanied by the maturation arrest of the myelocytic series at the promyelocyte-myelocyte level. A 2 years 3 month old female patient with Kostmann syndrome is reported, who has suffered from recurrent infections since 1 month of age. During...
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