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Volume 31(5); May 1988
Original Articles
A Study on the Blood Pressure Measurements in Newborn.
Ran Namgung, Ki Soo Pai, Chul Lee, Dong Gwan Han
J Korean Pediatr Soc. 1988;31(5):541-546.   Published online May 31, 1988
Non invasive blood pressures measured by the Dinamap monitor, an oscillometric device, were compared with the invasive radial artery pressure in neonates. There were 21 patients with a mean age of 16.5 days (ranges 7 days to 1 month) and a mean body weight of 3.3 kg. The invasive radial artery pressures were recorded on a strip chart and comparisons were made between the...
Changes in Auditory Brainstem Resposes in Hyperbilirubinemic Neonates Before and after Exchange Transfussion and Phototherapy.
Chong Woo Bae, Young Ho Ra, Sa Jun Chung, Chang Il Ahn
J Korean Pediatr Soc. 1988;31(5):547-554.   Published online May 31, 1988
More recently, several studies of newborns involving ABR testing have demonstrated abnormalities following an exposure to moderate or severe hyperbilirubinemia. Jaundice in the early neonatal period is associated with significant transient aberrations of ABR, which suggested transient brain- stem encephalopathy. So, many authors mentioned that ABR may be a useful tool for the monitoring of early biliubin toxicity in infants who were at risk...
The Relationship of Specific Gravity by Refractometer and Osmolality in the Urine of Neonates.
Hae Young Lee, In Soon Ahn, Jae Seung Yang, Beak Keun Lim, Jong Soo Kim
J Korean Pediatr Soc. 1988;31(5):555-558.   Published online May 31, 1988
Comparison of urinary specific gravity by refractometer and osmolality in 238 neonates demonstrated as followings; 1) The regression line is represented by the equation: Y = 107+14.2 (X-1000) while Y = osmolality in mosm/kg X = Specific gravity by refractometer r=0.8545 2) Osmolality is the only accurate measure of urine concentration in newborn infants. If the specific gravity by refractometer is used to screen for urine concentration, an elevated level...
Diagnostic Significance of Free Fatty Acid, Lipase and beta-Glucuronidase in Breast Milk Jaunce.
Kyoung Ok Lee, Soon Hak Kwon, Haeng Mi Kim, Doo Hong Ahn
J Korean Pediatr Soc. 1988;31(5):559-565.   Published online May 31, 1988
Free fatty acids, lipase activy and β-glucuronidase activity were measured in samples of breast milk collected from mothers of infants with and without breast milk jaundice. The free fatty acids, lipase and β-glucuronidase values in the breast milk from mothers with jaundiced infants were 7.5 ±6.5 mM/L, 5.3 ±3.2 mM/min/ml and 14.6 ±9.6 nM/min/ml respectively. In the group of mothers of infants without jaundice,...
Change of Clinical Feature of Typhoid Fever in Children.
Sung Oh Kim, Yong Joo Kim, Woo Kill Lee, Chong Moo Park
J Korean Pediatr Soc. 1988;31(5):566-576.   Published online May 31, 1988
We studied clinically on changing pattern of 256 patients with typhoid fever in children, who were hospitalized in the Department of Pediatrics Hanyang University Hospital for 14 years 8 months from May 1972 to December 1986. We divied two group: one, in the seventies (1972-1979), 175 patients; the other, in the eighties (1980 -1986), 81 patients and compared with each other. The results were as...
Iron Deficiency Anemia in Childhood and Diagnostic Significance of Serum Ferritin.
Dong Hyub Lee, Ki Hong Park, Kyu Chul Choi, Yong Mook Choi
J Korean Pediatr Soc. 1988;31(5):577-583.   Published online May 31, 1988
In order to elucidate clinical and laboratory findings of the iron deficiency anemia(IDA) in childhood along with diagnostic significance of serum ferritin, 207 patients were analyzed retrospec- tively, who were hospitalized at Department of Pediatrics, Kyung Hee University Hospital from January 1981 to December 1986. The results were as follows; 1) The incidence of IDA in In-Patient was 1.6%. 2) The sex ratio of male to female was...
Arrhythmia in Children with Congenital Corrected Transposition of the Great Arteries.
Yong Soo Yun, Chung Il Noh
J Korean Pediatr Soc. 1988;31(5):584-589.   Published online May 31, 1988
We studied the incidence of the arrhythmia in 10 children with congenitally corrected transposition of the great arteries diagnosed during the period from May 1986 to July 1987. Patient age ranged from 1 to 15 years. On the 12 leads surface electrocardiogram, there were complete atrioventricular block in one child and wide P wave in two. On the 24-hour electrocar- diogram, there were sinus...
Clinical Observation on Hemodialysis in Children with Chronic Renal Failure.
Hae Il Cheong, Yong Choi, Kwang Wook Ko
J Korean Pediatr Soc. 1988;31(5):590-596.   Published online May 31, 1988
There had been total 21 children with end stage renal disease in whom hemodialysis was done in the pediatric dialysis unit of Seoul National University Children’s Hospital during the period from 1986. 3. 31 to 1987. 11. 30. And we took a retrospective review of their clinical data, and the results were as follows 1) Primary glomerular disease, H enoch-Schdnlein nephritis, and reflux nephropathy were...
Clinical Study on Growth Hormone Deficient Dwarfs.
Duk Hi Kim
J Korean Pediatr Soc. 1988;31(5):597-606.   Published online May 31, 1988
34 patients with growth hormone (GH) deficiency were studied. The affected males outnumber females in a proportion of 1.8 to 1. The chronological ages on diagnosis was average 9.4 years old and bone age was delayed with average 6.6 years old. The major cause of GH deficiency was idiopathic and organic causes such as craniopharyngioma, germinoma & Tb. meningitis were relatively uncommon. Cerebral anoxia seemed...
Clinical Characteristics and Pathogenesis of Typhlitis in Childhood Non-Lymphocytic Leukemia-Considerations on Clinical Mangement with Report of Two Cases and Literature Review.
Do Hyun Kim, Sung Oh Kim, Soo Yup Lee, In Joon Seol, Hahng Lee, Chong Moo Park, Poong Man Jung, Seok Chol Jeon, Young Hyeh Ko, Jung Dal Lee
J Korean Pediatr Soc. 1988;31(5):607-620.   Published online May 31, 1988
The treatment of acute leukemia in childhood has been increasingly successful due to progression of chemotherapeutics and other supportive care. Improved survival rates in acute childhood leukemia have been associated with an increasing number of complications in the gastrointestinal tract. Typhlitis also known as ileocecal syndrome is a necrotizing inflammation of the cecum in leukemic patients on chemotherapy in the terminal stage of the...
A Case of Pulmonary Candidiasis.
Hye Ran Byun, Kung Ha Ryu, Moon Ja Kim, Keun Lee, Yeon Lim Suh, Je Geun Chi
J Korean Pediatr Soc. 1988;31(5):621-626.   Published online May 31, 1988
A case of fatal pulmonary candidiasis was diagnosed at autopsy of 5-month-old female infant. Patient had mild coughing, poor weight gain and marked hepatosplenomegaly. She had no sign of immune dysfunction but developed fever, wheezing and intermittent respiratory distress. Chest P-A showed infiltrations of multiple lobar pneumonia. Postmortem examination revealed the whitish necrotic mass like lesion with a feature of lobar pneumonic consolidation in...
A Case of Congenital Nephrotic Syndrome.
Choong Sun Kang, Chang Hee Hwang, Pyung Kil Kim, Hyeon Joo Jeong, In Joon Choi, Jung Hye Choi
J Korean Pediatr Soc. 1988;31(5):627-634.   Published online May 31, 1988
Congenital nephrotic syndrome is an uncommon disorder, which is caused by a heterogenous group of renal diseases with variable etiology and natural history. It may be inherited, sporadic, acquird or a part of a general malformation syndrome. This disorder has no single or pathological feature for pathognomonic finding, and there is no ultimate curative treatment except renal transplantation. We experienced a case of congenital...
Two Cases of Idiopathic Hypercalciuria in Children.
Joon Cho, Hye Lyung Baik, Hong Jong Joo, Jin Keun Chang, Moon Soo Park, Sung Woo Shin
J Korean Pediatr Soc. 1988;31(5):635-640.   Published online May 31, 1988
We herein experienced two cases of idiopathic hypercalciuria in a 4 year old boy and 8 year old boy who had asymptomatic gross hematuria. Diagnosis was made by a urinary calcium excretion of more than 4 mg per kilogram of body weight per 24 hours and by a urinary calcium-creatinine ratio of more than 0.21, under situation that specific etiology of hypercalciuria was not...
A Case of Incontinetia Pigmenti Associated with Convulsions.
Young Ok Suh, Gyun Woo Lee, Un Ki Yoon, Ji Sub Oh, Kee Suck Suh, Sang Tae Kim
J Korean Pediatr Soc. 1988;31(5):641-647.   Published online May 31, 1988
Incontinentia pigmenti is a complex hereditary syndrome in which vesicular, verrucous and pigmented cutaneous lesions are associated with developmental defects of the eye, skeletal system and central nervous system. A case of incontinentia pigmenti associated with convulsions, Block-Sulzberger type, is presented with a review of related literatures. The patient was a 40 day-old female infant with convulsions and verrucous, dark brown pigmented lesions on the trunk...
A Case of Familial Dysautonomia.
Hong Jin Lee, Dong Kyu Jin, Sei Won Yang, Jeong Kee Seo, Hyung Ro Moon, Je Geun Chi
J Korean Pediatr Soc. 1988;31(5):648-654.   Published online May 31, 1988
Few documented cases of Familial dysautonomia fulfilling current diagnostic criteria have been recognized in non-Jews especially in orientals. In our case diagnosis was established in 8 year old Korean girl. She fulfilled 8 out of 9 essential diagnostic criteria of Riley. It represents a report of this syndrome with achalasia and improved with modified Heller’s myotomy.
Waardenburg's Syndrome in a Boy and Mother.
D H Kim, M Y Kim, C S Suh, S Y Kim, J Y Jung
J Korean Pediatr Soc. 1988;31(5):655-659.   Published online May 31, 1988
Waardenburg's syndrome is a rare autosomal dominant disorder which is characterized by (1) lateral displacement of the medial canthi of the eyes and the inferior lacrimal puncta. (2) a broad, prominent root of the nose (3) hyperplasia of the medial portions of the eyebrows (4) white or grey forelock (5) partial or total heterochromia of the irides and (6) deaf-mutism. The authors experienced 2...
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