Concurrency of Guillain-Barre syndrome and acute transverse myelitis: a case report and review of literature.
Authors: Tolunay O, Çelik T, Çelik Ü, Kömür M, Tanyeli Z, Sönmezler A
Abstract
Guillain-Barré syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her medical history. A physical examination revealed lack of muscle strength of the lower extremities and deep tendon reflexes. MRI could not be carried out due to technical problem...
Source: Korean Journal of Pediatrics - December 28, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk.
Authors: Yoo EG
Abstract
The waist-to-height ratio (WHtR), calculated by dividing the waist circumference (WC) by height, has recently gained attention as an anthropometric index for central adiposity. It is an easy-to-use and less age-dependent index to identify individuals with increased cardiometabolic risk. A WHtR cutoff of 0.5 can be used in different sex and ethnic groups and is generally accepted as a universal cutoff for central obesity in children (aged ≥6 years) and adults. However, the WHtR has not been validated in preschool children, and the routine use of WHtR in children under age 6 is not...
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Rhinovirus and childhood asthma: an update.
Authors: Song DJ
Abstract
Asthma is recognized as a complex disease resulting from interactions between multiple genetic and environmental factors. Accumulating evidence suggests that respiratory viral infections in early life constitute a major environmental risk factor for the development of childhood asthma. Respiratory viral infections have also been recognized as the most common cause of asthma exacerbation. The advent of molecular diagnostics to detect respiratory viruses has provided new insights into the role of human rhinovirus (HRV) infections in the pathogenesis of asthma. However, it is still u...
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Prognostic factors of neurological outcomes in late-preterm and term infants with perinatal asphyxia.
CONCLUSION: We should apply with long-term video EEG or amplitude integrated EEG in order to detect and management subtle clinical or electrographic seizures in neonates with perinatal asphyxia. Also, long-term, prospective studies with large number of patients are needed to evaluate more exact prognostic factors in neonates with perinatal asphyxia.
PMID: 27895691 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Impact of postoperative duration of Aspirin use on longevity of bioprosthetic pulmonary valve in patients who underwent congenital heart disease repair.
CONCLUSION: Our results indicated no benefit from long-term aspirin medication (>6 months) in patients who underwent PVR with a bioprosthetic valve.
PMID: 27895692 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
P wave dispersion on 12-lead electrocardiography in adolescents with neurocardiogenic syncope.
CONCLUSION: PWD on echocardiography could be used as a clinical parameter in patients with NCS.
PMID: 27895693 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Edentulous child with Allgrove syndrome: a rare case report.
Authors: Vahedi M, Fathi S, Allahbakhshi H
Abstract
Triple-A syndrome, also known as Allgrove syndrome, is a rare autosomal recessive disorder. The 3 features of this syndrome are achalasia, adrenal insufficiency, and alacrima. Achalasia could be the first manifestation of the triple-A syndrome; however, its etiology is unclear. Alacrima is generally asymptomatic but can be detected by obtaining patient history. Although adrenal insufficiency could have manifestations such as asthenia, it might be wrongly diagnosed as muscle fatigue. Vitamin D and calcium supplements are usually prescribed for the preventi...
Source: Korean Journal of Pediatrics - November 30, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Respiratory support with heated humidified high flow nasal cannula in preterm infants.
Authors: Jeon GW
Abstract
The incidence of bronchopulmonary dysplasia (BPD) has not decreased over the last decade. The most important way to decrease BPD is by weaning the patient from the ventilator as soon as possible in order to reduce ventilator-induced lung injury that underlies BPD, and by using a noninvasive ventilator (NIV). Use of a heated, humidified, high flow nasal cannula (HHHFNC), which is the most recently introduced NIV mode for respiratory support in preterm infants, is rapidly increasing in many neonatal intensive care units due to the technical ease of use without sealing, and the atten...
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Enterovirus 71 infection and neurological complications.
Authors: Lee KY
Abstract
Since the outbreak of the enterovirus 71 (EV71) infection in Malaysia in 1997, large epidemics of EV71 have occurred in the Asia-Pacific region. Many children and infants have died from serious neurological complications during these epidemics, and EV71 infection has become a serious public health problem in these areas. EV71 infection causes hand, foot and mouth disease (HFMD) in children, and usually resolves spontaneously. However, EV71 occasionally involves the central nervous system (CNS), and induces diverse neurological complications such as brainstem encephalitis, aseptic m...
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Clinical and laboratory findings of childhood buckwheat allergy in a single tertiary hospital.
CONCLUSION: Almost two-thirds of buckwheat-allergic children had anaphylaxis, and a wide-range of buckwheat specific IgE levels were observed in these children. Anaphylaxis occurred in a subject with a remarkably low IgE level (0.37 kUA/L).
PMID: 27826326 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Prediction of unresponsiveness to second intravenous immunoglobulin treatment in patients with Kawasaki disease refractory to initial treatment.
CONCLUSION: The serum protein level of the patient prior to the second dose of IVIG is a significant predictor of unresponsiveness. The addition of methyl prednisolone to the second-line regimen produces no treatment benefit.
PMID: 27826327 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Behavioral and intelligence outcome in 8- to 16-year-old born small for gestational age.
CONCLUSION: This study indicates marked behavioral problems, such as delinquency, aggressiveness, and anxiety and depression, as well as low verbal IQ in the SGA group than in the AGA group. Even in cases in which these symptoms are not severe, early detection and proper treatment can help these children adapt to society.
PMID: 27826328 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Recurrent macrophage activation syndrome since toddler age in an adolescent boy with HLA B27 positive juvenile ankylosing spondylitis.
We present the case of an adolescent boy with human leukocyte antigen (HLA) B27-positive ankylosing spondylitis (AS), who experienced episodes of recurrent MAS since he was a toddler. A 16-year-old boy was admitted because of remittent fever with pancytopenia and splenomegaly after surgical intervention for an intractable perianal abscess. He had been diagnosed with hemophagocytic lymphohistiocytosis (HLH) 4 different times, which was well controlled with intravenous immunoglobulin and steroids since the age of 3. We were unable to identify the cause for the HLH. He remained symptom-free until the development of back pain ...
Source: Korean Journal of Pediatrics - November 10, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Apparent life-threatening event in infancy.
In conclusion, systemic diagnostic evaluation and adequate treatment increases the survival and quality of life for most affected infants.
PMID: 27721838 [PubMed - in process] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 13, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Effects of early menarche on physical and psychosocial health problems in adolescent girls and adult women.
Authors: Yoo JH
Abstract
The menarcheal age of Korean women has been rapidly decreasing for the last 50 years, and the average menarcheal age of women born in the 1990s is approaching 12.6 years. In addition, interest in early puberty has been increasing recently owing to the rapid increase in precocious puberty. Generally, out of concern for short stature and early menarche, idiopathic central precocious puberty in female adolescents is treated with gonadotropin-releasing hormone analogs. Studies to date have described the association between early menarche and psychosocial problems such as delinquency an...
Source: Korean Journal of Pediatrics - October 13, 2016 Category: Pediatrics Tags: Korean J Pediatr Source Type: research
