1.A Case of Childhood Obstructive Sleep Apnea Syndrome.
Hong Beom SHIN ; Yu Jin LEE ; Do Un JEONG
Sleep Medicine and Psychophysiology 2004;11(2):106-109
Adenotonsillar hypertrophy is the leading cause of childhood obstructive sleep apnea. Obstructive sleep apnea syndrome in child-hood, however, can occur from various causes such as obesity or craniofacial abnormalities. Childhood obstructive sleep apnea syndrome can be accompanied by enuresis, parasomnias and behavior problems. For patients with the symptoms of snoring and apnea, obstructive sleep apnea should be suspected and diagnosed properly. In addition, the evaluation of complications and proper treatment are indispensable. When the cause of childhood obstructive sleep apnea is adenotonsillar hypertrophy, symptoms can be improved by surgical methods. If the cause is other than adenotonsillar hypertrophy, such as obesity, it should be treated with other therapeutic modalities, like nasal continuous positive airway pressure (nCPAP), weight reduction and modification of life style. This paper reports a case of nCPAP used to manage severe sleep apnea when it was not resolved after adenoidectomy and tonsillectomy. Differential diagnosis of narcolepsy in a case with excessive daytime sleepiness and reflections on accompanying enuresis and parasomnia were also described.
Adenoidectomy
;
Apnea
;
Child
;
Continuous Positive Airway Pressure
;
Craniofacial Abnormalities
;
Diagnosis, Differential
;
Enuresis
;
Humans
;
Hypertrophy
;
Life Style
;
Narcolepsy
;
Obesity
;
Parasomnias
;
Sleep Apnea Syndromes
;
Sleep Apnea, Obstructive*
;
Snoring
;
Tonsillectomy
;
Weight Loss
2.A Case of Giant Pulmonary Artery Aneurysm with Severe Pulmonary Hypertension.
Kook Jin CHUN ; Taek Jong HONG ; Yung Woo SHIN
Korean Circulation Journal 1999;29(11):1255-1258
Aneurysms of the pulmonary artery are uncommon in general but have a potentially fatal prognosis. This is derived from the potential for rupture of the aneurysm from the fact that there is commonly underlying severe pulmonary hypertension. Most cases are documented in the large postmortem series. Aneurysms of the pulmonary artery can be classified as congenital or acquired. Possible symptoms include dyspnea on exertion, cough, hemoptysis, and thoracic pain. When a large aneurysm formation of the pulmonary artery is diagnosed, surgical intervention is indicated because conservative treatment of the aneurysm will undoubtedly result in rupture with fatal outcome. We report a case of 46-year old patient with a giant left pulmonary artery aneurysm associated with severe pulmonary hypertension. A Doppler echocardiogram and a computed tomographic scan showed a giant saccular aneurysm of the left pulmonary artery (12 cm in diameter) and estimated systolic right ventricular pressure of 80 mmHg.
Aneurysm*
;
Cough
;
Dyspnea
;
Fatal Outcome
;
Hemoptysis
;
Humans
;
Hypertension, Pulmonary*
;
Middle Aged
;
Prognosis
;
Pulmonary Artery*
;
Rupture
;
Ventricular Pressure
3.A Case of Angina Manifested by ST-segment Elevation during Exercise in Patient with Situs Inversus and Hyperthyroidism.
Kook Jin CHUN ; Taek Jong HONG ; Yung Woo SHIN
Korean Circulation Journal 1999;29(11):1245-1249
Ischemic heart disease is a common complication of thyrotoxicosis, although the exact mechanism has not been defined. In patient with dextrocardia as a part of situs inversus, coronary heart disease may occur with similar frequency and manifestation as in the general population. A case is reported of angina and thyrotoxicosis in patient with situs inversus totalis in which the angina was manifested by ST-segment elevation during graded exercise, relieved by antithyroid treatment. This unusual case establishes an association between hyperthy-roidism and ischemic heart disease.
Coronary Disease
;
Dextrocardia
;
Humans
;
Hyperthyroidism*
;
Myocardial Ischemia
;
Situs Inversus*
;
Thyrotoxicosis
4.The effect ofsingle oral dose of nortriptyline on plasma 3-methoxy-4-hydroxyphenethyleneglycol in healthy subjects.
Jin Pyo HONG ; Sang Gu SHIN ; Jong Inn WOO
Journal of Korean Neuropsychiatric Association 1992;31(2):230-239
No abstract available.
Nortriptyline*
;
Plasma*
5.Inhibition effect of growth of clostridum pereringens by enterococc-us faecalis.
Wan Shik SHIN ; Jin Hong YOO ; Moon Won KANG
Korean Journal of Infectious Diseases 1992;24(2):93-98
No abstract available.
6.Inhibition effect of growth of clostridum pereringens by enterococc-us faecalis.
Wan Shik SHIN ; Jin Hong YOO ; Moon Won KANG
Korean Journal of Infectious Diseases 1992;24(2):93-98
No abstract available.
7.The Evaluation of Autonomic Dysfunction in Patients with Mitral Valve Prolapse.
Kook Jin CHUN ; Jun Hong KIM ; Woo Seog KO ; Taek Jong HONG ; Yung Woo SHIN ; Yeong Kee SHIN
Korean Circulation Journal 1994;24(3):458-465
BACKGROUND: There has been reports which suggest that non-specific symptom of patients with mitral valve prolapse is associated with autonomic dysfunction. METHODS: To assess autonomic dysfunction of patients, we examined five cardiovascular reflex tests in 25 asymptomatic MVP patients(identified as MVP group), 25 symptomatic MVP patients(identified as MVP syndrome group) and 25 control group. RESULTS: In the five cardiovascular autonomic function tests, abnormalities of Valsalva ratio were detected in 1(4%) control group, 7(28%) MVP group, 9(36%) MVP syndrome group, heart rate response to deep breathing in 0(0%), 2(8%), 4(16%) respectively, immediate heart rate response to standing in 0(0%), 2(7.4%), 2(8%) respectively and in postural hypotension, there were no abnormal group. Abnormalities of blood pressure response to sustained handgrip were only detected in 2(8%) MVP syndrom group. According to the five categories of cardiovascular autonomic functon tests, normal in 24(96%) and early damage in 1(4%) were detected in control group. In the MVP group, normal 17(68%), early damage 6(24%) and definite damage 2(8%) were noted. In the MVP syndrome group, normal 9(36%), early damage 13(52%), definite damage 1(4%) and combined damage 2(8%) were detected. In case of heart rate response to deep breathing, we found significant differences between control and MVP syndrome group(p=0.043), and between MVP and MVP syndrome group(p=0.0043). In case of heart rate response to standing, between control and MVP syndrome group(p=0.0009), between MVP and MVP syndrome group(p=0.001), the differences were noted. In case of blood pressure response to standing, between control group and MVP group(p=0.0019), between MVP and MVP syndrome group(p=0.0075), we found significant differences. Resulting from our study, heart rate response to deep breathing and standing, blood pressure response to standing were of considerable value in assessing the autonomic dysfunction of patients with mitral valve proapse. CONCLUSION: We found autonomic dysfunction in addition to increased autonomic tone and responsiveness which have been already known previously in mitral valve prolapse. And autonomic dysfunction was more severe in symptomatic patients with mitral valve prolapse than asymptomatic ones.
Blood Pressure
;
Heart Rate
;
Humans
;
Hypotension, Orthostatic
;
Mitral Valve Prolapse*
;
Mitral Valve*
;
Reflex
;
Respiration
8.A Case of Bart's Syndrome.
Hong Shin JEON ; Young Jin HONG ; Don Hee AHN ; Hee Jun YOO ; Je Geun CHI
Journal of the Korean Pediatric Society 1994;37(1):104-108
A female newborn had the following characteristics; a congenital localized absence of skin over the lower extremities; blistering of the skin or mucous membrane, incited by trauma, which heals without scarring; and congenital absence or deformity of the nails. In respect to the characteristic manifestation, clinical course and electron microscopic features, our patient seems to fit well into Bart's syndrome. The inheritance pattern appears to be autosomal dominant but, as in this report, isolated cases have been recognized. As the review of the literatures, congenital localized absence of skin has been observed in various subsets of inherited E.B. But, we believe that the term Bart's syndrome should be used to identify patients with good prognosis as the Bart's initial description To the best of our knowedge, this is the first reported case of Bart's syndrome in the korean literature.
Blister
;
Cicatrix
;
Congenital Abnormalities
;
Female
;
Humans
;
Infant, Newborn
;
Inheritance Patterns
;
Lower Extremity
;
Mucous Membrane
;
Prognosis
;
Skin
9.Clinical Studies of Salmonellosis in Childhood.
Hong Shin JEON ; Young Jin HONG ; Myung Ik LEE ; Keun Chan SOHN
Journal of the Korean Pediatric Society 1994;37(2):199-204
During The last 11 years from Jan. 1980 to Dec. 1990, 72 cases of salmonellosis has been admitted to the Department of Pediatrics of National Medical Center and evaluated clinical difference between typhoid fever and salmonella gastroenteritis. The results were as follows: 1) The annual incidence of salmonella gastroenteritis insalmonellosis was increased in the latter half of the eighties. 2) Both salmonellosis had its peak incidence in the summer. 3) Salmonella gastroenteritis was highest in the age of less than 5 year in contrast with the age of 6~9 year in typhoid fever. 4) The specimens isolated salmonellae were blood and stool in most cases, especially blood in typhoid fever and stool in gastroenteritis. 5) S.typhi was 16 cases, salmonella group A was 3 cases, group B was 16 cases and Group D and E were a case in each in isolated salmonellae. 6) On the antibiotic sensitivity test, S.typhi was sensitive to the most antibiotics. but the salmonella group B was relatively resisitant to Ampicillin, Carbenicillin, Tetracycline and Chloramphenicol.
Ampicillin
;
Anti-Bacterial Agents
;
Carbenicillin
;
Chloramphenicol
;
Gastroenteritis
;
Incidence
;
Pediatrics
;
Salmonella
;
Salmonella Infections*
;
Tetracycline
;
Typhoid Fever
10.Myelopathy Caused by Surfing.
Journal of the Korean Neurological Association 2016;34(5):391-393
No abstract available.
Central Cord Syndrome
;
Spinal Cord Diseases*
;
Spinal Cord Ischemia