1.Predicting the progression of chronic renal failure using serum creatinine.
Korean Journal of Nephrology 1991;10(1):1-7
No abstract available.
Creatinine*
;
Kidney Failure, Chronic*
2.Dialytic Management of End-stage Renal Disease in Children.
Journal of the Korean Pediatric Society 1987;30(4):361-369
No abstract available.
Child*
;
Humans
;
Kidney Failure, Chronic*
3.Coxiella Burnetii Infection in Patiets with Various Diseases.
Journal of the Korean Pediatric Society 1994;37(3):356-367
Coxiella burnetii(C. burneii)was first recognized as the agent of Q fever in 1937. Q fever is an acute self-limited febrile illness. However, it manifests with several clinical symptoms depending upon the organs that are involved. The association of C. burnetii with human neoplasia has been rarely reported. We prospectively studied the 55 patients with fever of unknown origin, pneumonia, hepatosplenomegaly, lymphadenopathy, leukemia, lymphoma, and immunodeficiency and 14 persons who contacted the Q fever patients. The patient's sera were tested for antibodies specific for C. burnetii, using indirct fluorescent antibody techniques (IFA). 1) We serologically confirmed 23 C. burnetii infection. The 23 children with Q fever ranged in age from 0 to 15 years, with mean age of 4 years 11 months. Seventeen were boys and 6 were girls. 2) Characteristic symptoms and signs were fever (9/12 cases), rash (8/14 cases), hepatosplenomegaly (8/8 cases)and lymphadenopathy (14/27 cases). Five cases among 14 asymptomatic cases who contacted Q fever patients showed positive IFA test. One suffered from irregular uterine contraction, 4 weeks after contact with a Q fever patient. 3) There were no history of exposure to domestic animal carriers or contaminated dust, or drinking raw milk except one family. Three attending doctors and her father infected by a patient with Q fever. These suggested the person to person transmission of Q fever in a family and house staffs infected by a patient of Q fever. 4) Q fever (9 cases), acute lymphoblastic leukemia (2 cases), acute myelomonocytic leukemia (1 case), hairy cell leukemia (1case), Kawasaki disease (4 cases) and congenital dyserythropoietic anemia (1 case) showed positive IFA test. 5) Of 9 cases who suffered from lnly Q fever, 7 cases were confirmed hairy cell formation in their peripheral blood. One case was diagnosed as hairy cell leukemia after bone marrow study. Of 7 cases who showed hairy cells, all had hepatomegaly, 6 cases had lymphedenopathy and 5 cases showed splenomegaly. All except 1 case who was not followed cured after treatment. 6) We treated Q fever patients with rifampin and/or ciprofloxacin, and/or tetracyclin (over 8 year-old of age)for 2-4 weeks. One 25 month-old patient with hairy cell leukemia was treated with rifampin, ciprofloxacin and tetracyclin for 4 weeks, and rifampin for 8 months. A pregnant patient was administered with rifampin, and treated with rifampin and ciprofloxacin after delivery. We gave rifampin in one nweborn baby. In conclusion, we suggest that Q fever should be considered in the differential diagnosis of patients with FUO, hepatosplenomegaly and/or immunodeficiency.
Anemia, Dyserythropoietic, Congenital
;
Animals, Domestic
;
Antibodies
;
Bone Marrow
;
Child
;
Child, Preschool
;
Ciprofloxacin
;
Coxiella burnetii*
;
Coxiella*
;
Diagnosis, Differential
;
Drinking
;
Dust
;
Exanthema
;
Fathers
;
Female
;
Fever
;
Fever of Unknown Origin
;
Fluorescent Antibody Technique
;
Hepatomegaly
;
Humans
;
Internship and Residency
;
Leukemia
;
Leukemia, Hairy Cell
;
Leukemia, Myelomonocytic, Acute
;
Lymphatic Diseases
;
Lymphoma
;
Milk
;
Mucocutaneous Lymph Node Syndrome
;
Pneumonia
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma
;
Prospective Studies
;
Q Fever*
;
Rifampin
;
Splenomegaly
;
Uterine Contraction
5.Recurrent Guillain-Barr'e Syndrome.
Kyo Sun KIM ; Jae Song KIM ; Pyung Kil KIM
Journal of the Korean Pediatric Society 1981;24(4):367-450
No abstract available.
6.Hepatorenal Syndrome.
Kyo Sun KIM ; Young Mo SOHN ; Jung Soo KIM
Journal of the Korean Pediatric Society 1981;24(3):257-270
No abstract available.
Hepatorenal Syndrome*
7.A study on the length of the human umbilical cord.
Min Hee KIM ; Young Hyuk LEE ; Kyo Sun KIM
Journal of the Korean Pediatric Society 1991;34(12):1641-1646
No abstract available.
Apgar Score
;
Humans*
;
Umbilical Cord*
8.Acute hepatitis in a 10 month old girl with Rubeola.
Youn Ha KANG ; Young Min AHN ; Kyo Sun KIM
Journal of the Korean Pediatric Society 1985;28(2):174-176
No abstract available.
Female*
;
Hepatitis*
;
Humans
;
Infant*
;
Measles*
9.Renal Effects of a Low Protein Diet and Antihypertensive Drugs on the Progression of Early Chronic Renal Failure in 5/6 Nephrectomized-Rats.
Kyo Sun KIM ; Kee Hyuk KIM ; Sang Yun KIM ; Yong Joo KANG ; Won Jae MAENG
Journal of the Korean Society of Pediatric Nephrology 1998;2(2):125-132
A case of invasive cribriform carcinoma of the breast is presented with fine need- le aspiration cytologic features. The aspiration was performed from a papable 2.0cm mass in the upper outer quadrant of the right breast in a 53 year-old woman. The aspirate showed cellular smear composed of larger three dimensional tight clusters, smaller monolayered loose clusters, and many individual cells on the clean background. In the clusters, the tumor cells were bordering central lumina, quite similar to the cribriform in histology. The tumor cells in the clusters and individual tumor cells had uniform, small and round nuclei. The chromatin was finely granular, and nuclear membrane was smooth. No discernible nucleoli were present (nuclear grade 1-2). Unless the abundance of individual cells and the cribriform growth pattern are recognized in the smear, the cytologic diagnosis of invasive cribriform carcinoma is difficult.
Female
;
Humans
;
Biopsy
10.Effects of Dietary Protein on the Progression of Early Chronic Renal Failure in Subtotally Nephrectomizid Rets.
Kyo Sun KIM ; Kee Hyuk KIM ; Sang Yun KIM ; Yong Joo KANG ; Won Jae MAENG
Journal of the Korean Society of Pediatric Nephrology 1999;3(1):64-71
Endodermal sinus tumor of the mediastinum is a very rare malignant tumor, usually affecting young adolescents, and its histologic findings are characteristic as that of gonadal germ cell origin. We describe the cytologic finding of fine needle aspiration of mediastinal endodermal sinus tumor in a 19-year-old male patient, comparing with tissue section. The tumor cells in smears were usually in tight clusters with large overlapping cells, which were arranged in a papillary or microacinar pattern, suggesting carcinoma. The tumor cells were large, round or oval with a small amount of cytoplasm which was occasionally vacuolated and had indistinct border. The nuclei were large, pleomorphic, and vesicular with large promi- nent nucleoli. The tissue sections showed typical findings of endodermal sinus tumor. Careful correlation of cytological findings and the serum alpha-fetoprotein level would be helpful to confirm the diagnosis.
Adolescent
;
alpha-Fetoproteins
;
Biopsy, Fine-Needle
;
Biopsy, Needle
;
Carcinoma, Papillary
;
Carcinoma, Squamous Cell
;
Child*
;
Clonorchiasis
;
Cytoplasm
;
Diagnosis
;
Dietary Proteins*
;
Endodermal Sinus Tumor
;
Female
;
Germ Cells
;
Giant Cells
;
Gonads
;
Humans
;
Kidney Failure, Chronic*
;
Male
;
Mediastinum
;
Middle Aged
;
Thyroid Gland
;
Urinary Tract Infections*
;
Urinary Tract*
;
Vesico-Ureteral Reflux*
;
Young Adult