No abstract available.
Asthma* ; Immunotherapy*

No abstract available.
Humans ; Infant, Newborn*

No abstract available.
Bronchopulmonary Dysplasia* ; Humans ; Infant, Newborn

Chronic cough is a symptom frequently encountered by the pediatrician. Although most coughs are self-limited, chronic cough often proves to be a frustrating problem. This study was performed at Kangnam St. Mary's Hospital from January 1, 1992 to December 31, 1992, and 83 children with chronic cough persisting for longer than 3 weeks was evaluated. We categorized these patients into 5 age groups (1. Infant: uner 12 months of age, 2. Toddler: above age 1~below age 3, 3. Preschool: above age 3~below age 6,4. School: above age 6~below age 6~below age 12, 5. Adolecent: above age 12). The most common cause of chronic cough was the reactive airway disease (71.1%) such as asthma with or without sinusitis (56.6%) and bronchiolitis-reactive (14.5%). In infant age group, the most frequent causes of chronic cough were reactive airway disease(52.4%)such as bronchiolitis-reactive (28.6%) and infantile asthma (23.8%). The second and third common causes were congenital anomalies(23.8%) and bronchiolitis-nonreactive (23.8%). In toddler age, the most common cause was the reactive airway disease such as infantile asthma (10 cases: 50%) and bronchiolitis reactive (6cases; 30%) and congenital anomalies were the second common causes of chronic cough. In preschool, school and adolescent age group, asthma and sinusitis were the main causes of chronic cough. In the groups above age 3,73.2% of chronic cough were associated with sinusitis. Therefore, in the diagnostic and therapeutic approach of chronic cough, it should be considered that the cause of cough is either reactive airway disease with or without sinusitis or not. In infant and toddler age, congenital anomaly should be considered.
Adolescent ; Asthma ; Bronchiolitis ; Child* ; Cough* ; Humans ; Infant ; Sinusitis

The “delta phalanx”, first named by BlundeII Jones in 1964, is a triangular(“delta-shaped”) or trapezoidal phalanx with C-shaped epiphyseal plate causing progressive angular deformity of the digit with growth. Neither splinting nor physical therapy is effective in improving the condition. Surgical correction is indicated and several methods of correction have been reported. Authors have experienced a rare case of “delta phalanx” occuring in the proximal phalanx of the syndactylous digit.
Congenital Abnormalities ; Growth Plate ; Splints ; Syndactyly

Fourty one cases of open fractures of tibial shaft complicated with varying degrees of soft tissue injuries were trested by one-plane unilateral external fixation with AO fixator. In seventeen csses among them, interfragmental lag screw fixation was applied in addition, for more rigidity and stability of the fixation. All of thern were followed up at least for one year and we obtained the following results. 1. Rigid stable external fixation provided by additional minimum internal fixation may not increase the rate of infection but rather enhance prompt primary bone healing. 2. One-plane unilatersl external fixation may facilitate good access to the wound for subsepuent reconstructive procedures, and enhance pain-free early full range of joint motion, thus promote early bone union. 3. Comparing with bilsteral fixation, there wss almost no difference in the union time of the fracture even with one-plsne unilatersl fixation.
Clinical Study ; External Fixators ; Fractures, Open ; Joints ; Soft Tissue Injuries ; Tibia ; Wounds and Injuries

This study was attempted to reveal the clinical and electroencephalographic findings in children who were experienced febrile convulsion and epilepsy. The subjects were 226 cases, under 15 years of age, who visited with convulsive disorders to the St. Mary's hospital between Jan. 1977 and Aug. 1978. Of these, 45 cases were febrile convulsion and 123 cases were epilepsies. The results were as follows : 1. The major cause of convulsions, in order of frequency, were epilepsy (54.4%), febrile convulsion (19.9%), meningitis and encephalitis (11.5%), cerebral palsy (4.0%), diarrhea (3.1%) and tetany (1.3%). 2. The leading cause of convulsions were different according to age : Before the age of 3, febrile convulsion, meningitis and encephalitis were common cause of convulsions and epilepsy was common after that age. 3. 68.8% of first febrile convulsion observed during the first 2 years of age. Male to female ratio was 3:2. 4. The EEG findings, of 24 cases with reccurent febrile convulsions, were normal in 29.9%, borderline in 8.3% and abnormal in 62.5% of them. The incidence of abnormal EEG findings were more frequent in the older children than in the younger ones : Of the 10 cases less than 3 years old, the chance of abnormal EEG findings was noted in 2 cases, compared to 13 cases of 14 cases more than 3 years old. This result suggest that the incidence of abnormal EEG in reccurent febrile convulsion seems to be correlated with the preexisting numbers of convulsive attacks. The findings of abnormal EEG were sporadic spike (40.0%), high voltage slow wave (20.0%), multiple spike (20.0%), slow wave dysrhythmia (13.3%) and spike and wave complex (6.7%). 5. The clinical type of epilepsies, in order of frequency, were grand mal (45.5%), minor motor seizure (17.1%), focal seizure (9.8%), petit mal absence (8.1%) and psychomotor seizure (4.9%). The major abnormal EEG finding in grand mal and focal seizure was asymmetric and focal slow wave, and it was found in 33.9% and 58.3% of their traces respectively. In psychomotor seizure, spike or sharp wave was noted in 66.7%, and in petit mal absence and minor seizure, spike and wave complex were noted 100.0% and 33.3% of them.
Cerebral Palsy ; Child ; Child, Preschool ; Diarrhea ; Electroencephalography ; Encephalitis ; Epilepsy* ; Female ; Humans ; Incidence ; Male ; Meningitis ; Seizures ; Seizures, Febrile* ; Tetany

No abstract available.
Tachycardia, Supraventricular* ; Tachycardia, Ventricular*

BACKGROUND: Chronic actinic dermatitis comprises a spectrum of chronic photosensitivity disorders. Treatment includes avoidance of UV light, application of broad-spectrum topical sunscreens, PUVA therapy, corticosteroid, azathioprine and cyclosporine. OBJECTIVE: Our purpose was to determine the efficacy of cyclosporine in the treatment of chronic actinic dermatitis. METHODS: Six patients with chronic actinic dermatitis refractory to conventional treatment were treated with cyclosporine 100-200mg a day for four to eighteen weeks. RESULTS: In all six patients improvement of the skin lesions and itching were dramatic, but in three of them hyperterision developed during the cyclosporine treatment. After stopping the cyclosporine therapy, their blood pressures normalized within two to five weeks. Other side effects of cyclosporine were not found. Although the skin lesions of all of the six patients were aggravated more or less after stopping the cyclosporine therapy, we could maintain their improved states with topical corticosteroids and oral antihistamines. CONCLUSION: 1. Cyclosporine is a good alternative in treating chronic actinic dermatitis patients who are suffering from severe symptoms refractory to conventional therapy. 2. Hypertension is the frequent side effect of cyclosporine.
Adrenal Cortex Hormones ; Azathioprine ; Cyclosporine* ; Histamine Antagonists ; Humans ; Hypertension ; Photosensitivity Disorders* ; Pruritus ; PUVA Therapy ; Skin ; Sunscreening Agents ; Ultraviolet Rays

Four subtypes of hepatitis B surface antigen are useful in the epidemiologic studies of the route of virus transmission and clinical significance of simultaneous occurance of hepatitis B surface antigen and antibody to hepatitis B surface antigen in the same serum as well as useful marker for population migration. The sera were obtained from 214 HBs Ag positive patients who are diagnosed as chronic liver disease and following up in the Yeungnam university hospital. The subtypes were determined by solid-phase sandwich EM using monoclonal antibodies. Among 214 specimens, the subtype adr was 93.9%, adw was 2.8%, ayr was 0.9%, ar was 0.9%, adwr was 1.4% and ayw was not detected. There were no correlation between subtype pattern and disease. In summary, the subtype adr was prominent in our study and the difference of subtype pattern by severity of disease was not significant. However, to determine the prognostic value of HBs Ag subtype and relationship between subtype and disease progression, long-term follow up will be needed.
Antibodies, Monoclonal ; Disease Progression ; Epidemiologic Studies ; Follow-Up Studies ; Hepatitis B Surface Antigens* ; Hepatitis B* ; Hepatitis* ; Humans ; Liver Diseases* ; Liver*