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Korean Journal of Pediatrics

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https://www.readbyqxmd.com/read/29963104/breast-abscess-caused-by-staphylococcus-aureus-in-2-adolescent-girls-with-atopic-dermatitis
#1
Sung Man Park, Won Sik Choi, YoonSun Yoon, Gee Hae Jung, Chang Kyu Lee, So Hyun Ahn, Yoon Wonsuck, Young Yoo
Atopic dermatitis (AD) is a chronic inflammatory skin disease in children. Patients with AD experience a high rate of colonization of the skin surface by Staphylococcus aureus . Because of a skin barrier defect, there is a potential risk of staphylococcal invasive infection in patients with AD. Here, we present 2 cases of breast abscess caused by S. aureus in 2 adolescent girls with severe AD. Methicillin-sensitive S. aureus was identified from the breast abscess material. They were treated with appropriate antibiotics, however surgical drainage of the abscess was needed in case 1...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963103/outcome-of-ultrasonographic-imaging-in-infants-with-sacral-dimple
#2
Jin Hyuk Choi, Taekwan Lee, Hyeok Hee Kwon, Sun Kyoung You, Joon Won Kang
Purpose: Sacral dimples are a common cutaneous anomaly in infants. Spine ultrasonography (USG) is an effective and safe screening tool for patients with a sacral dimple. The aim of this study was to determine the clinical manifestations in patients with an isolated sacral dimple and to review the management of spinal cord abnormalities identified with USG. Methods: We reviewed clinical records and collected data on admissions for a sacral dimple from March 2014 through February 2017 that were evaluated with spine USG by a pediatric radiologist...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963102/the-outcome-of-percutaneous-stent-implantation-in-congenital-heart-disease-experience-of-a-single-institute
#3
Moon Sun Kim, Ja Kyoung Yoon, Seong Ho Kim, Ji Seok Bang, So Ick Jang, Sang Yoon Lee, Eun Young Choi, Su Jin Park, Hye Won Kwon
Purpose: The efficacy of percutaneous stent implantation for congenital heart disease (CHD) in Korea, where stent availability is limited, has not been determined. This study evaluated the acute and midterm results of stent implantation in different CHD subgroups. Methods: Stents were implanted in 75 patients with 81 lesions: (1) pulmonary artery stenosis (PAS) group, 56 lesions in 51 patients; (2) coarctation of the aorta (CoA) group, 5 lesions in 5 patients; (3) Fontan group, 13 lesions in 12 patients; (4) ductal stent group, 3 lesions in 3 patients; and (5) other CHD group, 4 lesions in 4 patients...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963101/clinical-and-laboratory-profiles-of-hospitalized-children-with-acute-respiratory-virus-infection
#4
Eunjin Choi, Kee-Soo Ha, Dae Jin Song, Jung Hwa Lee, Kwang Chul Lee
Purpose: Despite the availability of molecular methods, identification of the causative virus in children with acute respiratory infections (ARIs) has proven difficult as the same viruses are often detected in asymptomatic children. Methods: Multiplex reverse transcription polymerase chain reaction assays were performed to detect 15 common respiratory viruses in children under 15 years of age who were hospitalized with ARI between January 2013 and December 2015...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29963100/esophageal-perforation-in-children-etiology-and-management-with-special-reference-to-endoscopic-esophageal-perforation
#5
REVIEW
Krishna Kumar Govindarajan
Perforation of the esophagus is an uncommon problem with significant morbidity and mortality. In children undergoing endoscopy, the risk of perforation is higher when interventional endoscopy is performed. The clinical features depend upon the site of esophageal perforation. Opinions vary regarding the optimal treatment protocol, and the role of conservative management in this context is not well established. Esophageal perforation that occurs as a consequence of endoscopy in children requires careful evaluation and management, as outlined in this article...
June 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853942/differentiation-between-incomplete-kawasaki-disease-and-secondary-hemophagocytic-lymphohistiocytosis-following-kawasaki-disease-using-n-terminal-pro-brain-natriuretic-peptide
#6
Jung Eun Choi, Yujin Kwak, Jung Won Huh, Eun-Sun Yoo, Kyung-Ha Ryu, Sejung Sohn, Young Mi Hong
Purpose: Hemophagocytic lymphohistiocytosis (HLH) is a hyperinflammatory syndrome with many causes, including Kawasaki disease (KD). The purpose of this study was to identify the laboratory tests needed to easily differentiate KD with HLH from incomplete KD alone. Methods: We performed a retrospective study on patients diagnosed with incomplete KD and incomplete KD with HLH (HLH-KD) between January 2012 and March 2015. We compared 8 secondary HLH patients who were first diagnosed with incomplete KD with all 247 incomplete KD diagnosed patients during the study period...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853941/clinical-implications-in-laboratory-parameter-values-in-acute-kawasaki-disease-for-early-diagnosis-and-proper-treatment
#7
Yu-Mi Seo, Hyun-Mi Kang, Sung-Churl Lee, Jae-Won Yu, Hong-Ryang Kil, Jung-Woo Rhim, Ji-Whan Han, Kyung-Yil Lee
Purpose: This study aimed to analyse laboratory values according to fever duration, and evaluate the relationship across these values during the acute phase of Kawasaki disease (KD) to aid in the early diagnosis for early-presenting KD and incomplete KD patients. Methods: Clinical and laboratory data of patients with KD (n=615) were evaluated according to duration of fever at presentation, and were compared between patients with and without coronary artery lesions (CALs)...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853940/diagnostic-and-prognostic-value-of-proadrenomedullin-in-neonatal-sepsis
#8
Sameh Samir Fahmey, Heba Mostafa, Noha Abd Elhafeez, Heba Hussain
Purpose: Sepsis is a major cause of neonatal morbidity and mortality. Early diagnosis is a major problem because of the lack of specific clinical signs. Therefore, a reliable diagnostic marker is needed to guide the use of antimicrobial agents. The objective of our study was to assess the value of proadrenomedullin (pro-ADM) in establishing the diagnosis and evaluating the prognosis of neonatal sepsis. Methods: This study enrolled 60 newborn infants with sepsis proven with positive blood cultures and 30 healthy neonates...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853939/long-term-prenatal-stress-increases-susceptibility-of-n-methyl-d-aspartic-acid-induced-spasms-in-infant-rats
#9
Hyeok Hee Kwon, Taekwan Lee, Jinpyo Hong, Dong Woon Kim, Joon Won Kang
Purpose: Infantile spasms, also known as West syndrome, is an age-specific epileptic seizure. Most patients with this condition also exhibit delayed development. This study aimed to determine the effect of long-term prenatal stress on susceptibility to infantile spasms. Methods: We subjected pregnant rats to acute or chronic immobilization stress. Resulting offspring received N-methyl-D-aspartic acid (15 mg/kg, intraperitoneally) on postnatal day 15, and their behaviors were observed 75 minutes after injection...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29853938/the-2017-korean-national-growth-charts-for-children-and-adolescents-development-improvement-and-prospects
#10
REVIEW
Jae Hyun Kim, Sungha Yun, Seung-Sik Hwang, Jung Ok Shim, Hyun Wook Chae, Yeoun Joo Lee, Ji Hyuk Lee, Soon Chul Kim, Dohee Lim, Sei Won Yang, Kyungwon Oh, Jin Soo Moon
Growth charts are curves or tables that facilitate the visualization of anthropometric parameters, and are widely used as an important indicator when evaluating the growth status of children and adolescents. The latest version of the Korean National Growth Charts released in 2007 has raised concerns regarding the inclusion of data from both breastfed and formula-fed infants, higher body mass index (BMI) values in boys, and smaller 3rd percentile values in height-for-age charts. Thus, new growth charts have been developed to improve the previous version...
May 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713360/intestinal-duplication-revealed-by-posterior-reversible-encephalopathy-syndrome
#11
Yosra Kerkeni, Hela Louati, Mourad Hamzaoui
We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713359/hypercalciuria-and-febrile-convulsion-in-children-under-5-years-old
#12
Vahid Seddighi Gorabi, Bahram Nikkhoo, Obeidollah Faraji, Mona Mohammadkhani, Sattar Mirzaee, Mohammad Aziz Rasouli, Abdorrahim Afkhamzadeh
Purpose: The association between hypercalciuria and febrile convulsion is controversial. The present study aimed to investigate the statistical association between hypercalciuria and childhood febrile convulsions. Methods: Overall, 160 children aged 6 months to 5 years, including 80 children with febrile convulsion and 80 febrile children without convulsion (comparison group), were recruited. All laboratory tests, including 24-hour urine calcium, were undertaken in an academic clinical laboratory...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713358/the-association-of-total-blood-mercury-levels-and-overweight-among-korean-adolescents-analysis-of-the-korean-national-health-and-nutrition-examination-survey-knhanes-2010-2013
#13
Yi-Yeon Shin, In-Kyung Ryu, Mi-Jung Park, Shin-Hye Kim
Purpose: Obesity has been associated with higher total blood mercury levels, based on animal studies; however, studies that focus on children and adolescents are lacking. We aimed to assess the association between total blood mercury levels and the incidence of overweight and abdominal obesity in Korean adolescents. Methods: The study population comprised 1,567 adolescents (793 boys and 774 girls; aged 10-19 years), who participated in the Korea National Health and Nutrition Examination Survey 2010-2013...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713357/torch-toxoplasmosis-rubella-cytomegalovirus-and-herpes-simplex-virus-screening-of-small-for-gestational-age-and-intrauterine-growth-restricted-neonates-efficacy-study-in-a-single-institute-in-korea
#14
Mi Hae Chung, Chan Ok Shin, Juyoung Lee
Purpose: Routine screening for toxoplasmosis, rubella, cytomegalovirus (CMV), and herpes simplex virus (TORCH) in intrauterine growth restriction (IUGR) and small for gestational age (SGA) neonates has become a common practice. However, the incidence of TORCH varies across countries, and the cost of TORCH testing may be disadvantageous compared to disease-specific screening. To evaluate the efficacy of TORCH screening, the medical charts of IUGR or SGA neonates born in a single institution in Bucheon, Korea from 2011 to 2015 were reviewed...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713356/sudden-unexpected-cardio-respiratory-arrest-after-venipuncture-in-children
#15
Goun Jeong, Son Moon Shin, Nam Su Kim, Young Min Ahn
Purpose: This study aimed to investigate the clinical and socioenvironmental characteristics of sudden cardiorespiratory arrest after venipuncture in children. Methods: We conducted a retrospective email-based survey of all members of the Korean Pediatric Society. The questionnaire included items on patient demographics, socioenvironmental circumstances of the venipuncture, type of cardiorespiratory arrest, symptoms and signs, treatment, prognosis, and presumed cause of the arrest...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29713355/epilepsy-syndromes-during-the-first-year-of-life-and-the-usefulness-of-an-epilepsy-gene-panel
#16
REVIEW
Eun Hye Lee
Recent advances in genetics have determined that a number of epilepsy syndromes that occur in the first year of life are associated with genetic etiologies. These syndromes range from benign familial epilepsy syndromes to early-onset epileptic encephalopathies that lead to poor prognoses and severe psychomotor retardation. An early genetic diagnosis can save time and overall cost by reducing the amount of time and resources expended to reach a diagnosis. Furthermore, a genetic diagnosis can provide accurate prognostic information and, in certain cases, enable targeted therapy...
April 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29628970/acute-kidney-injury-in-pediatric-patients-with-rhabdomyolysis
#17
Young Shin Lim, Heeyeon Cho, Sang Taek Lee, Yeonhee Lee
Purpose: This study aimed to evaluate the clinical findings in pediatric rhabdomyolysis and the predictive factors for acute kidney injury (AKI) in Korean children. Methods: Medical records of 39 Korean children, who were newly diagnosed with rhabdomyolysis from January 2008 to December 2015, were retrospectively analyzed. The diagnosis was made from the medical history, elevated serum creatinine kinase level >1,000 IU/L, and plasma myoglobin level >150 ng/mL...
March 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29628969/association-between-vitamin-d-and-urinary-tract-infection-in-children
#18
Abolfazl Mahyar, Parviz Ayazi, Sara Safari, Reza Dalirani, Amir Javadi, Shiva Esmaeily
Purpose: The present study aimed to determine the relationship between serum 25-hydroxyvitamin D (25(OH)D) level and Urinary tract infections (UTIs) in children. Methods: In this case-control study, 70 children with UTI (case group) were compared with 70 healthy children (control group) in terms of serum 25(OH)D levels. The children were between 1 month and 12 years of age. Serum 25(OH)D levels were measured using enzyme-linked immunosorbent assay (ELISA). The results were analyzed and compared between both groups...
March 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29628968/clinical-manifestation-of-campylobacter-enteritis-in-children
#19
Joon Yeol Bae, Dong Hyuk Lee, Kyung Ok Ko, Jae Woo Lim, Eun Jeong Cheon, Young Hwa Song, Jung Min Yoon
Purpose: Timely antibiotic therapy in selected cases of diarrhea associated with bacterial infections can reduce the duration and severity of illness and prevent complications. The availability of a predictive index before identification of causative bacteria would aid in the choice of a therapeutic agent. Methods: The study included patients admitted to the pediatrics unit at Konyang University Hospital for acute inflammatory diarrhea from August 1, 2015 to July 31, 2016 who underwent multiplex polymerase chain reaction testing...
March 2018: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/29628967/augmentation-of-respiratory-muscle-activities-in-preterm-infants-with-feeding-desaturation
#20
Dong Rak Kwon, Gi Young Park, Ji Eun Jeong, Woo Taek Kim, Eun Joo Lee
Purpose: Frequent desaturation due to immature incoordination of suck-swallow-breathing in preterm infants can influence multiple organs such as the heart, lungs, and brain, which can then affect growth and development. Most notably in preterm infants, feeding desaturation may even affect pulmonary function during gavage feeding. Because respiratory muscle activities may reflect the work required during respiration, we evaluated the differences in these activities between full-term and preterm infants with feeding desaturation, and investigated the correlations with clinical variables...
March 2018: Korean Journal of Pediatrics
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