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Case reports in pediatrics 81건

  1. [해외논문]   Possible Correlation between Hypomelanosis of Ito and Wilms' Tumor  

    Bello-Germino, Daniella (Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo, TX, USA ) , Chhin, Rasmey (Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo, TX, USA ) , Tran, Thu (Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo, TX, USA ) , Vasylyeva, Tetyana L. (Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo, TX, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Hypomelanosis of Ito is a neurocutaneous disorder characterized by skin manifestations in a characteristic pattern associated with musculoskeletal and central nervous system symptoms. Our patient was diagnosed with Wilms' tumor stage I at age two and was also found to have distinct streaked areas of skin hyper- and hypopigmentation suggestive of Hypomelanosis of Ito. We believe that our patient's clinical diagnoses of Hypomelanosis of Ito and Wilms' tumor are interlinked. The connecting factor is yet to be identified. Our patient does not have a deletion of 11p13 associated with a defect in WT1, the Wilms' tumor suppressor gene. As such, it is quite possible that what made her more susceptible to the development of Wilms' tumor was her Hypomelanosis of Ito, which is implicated in a number of other organ dysfunctions.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   MUllerian Agenesis Masquerading as Secondary Amenorrhea  

    Tavera, Gloria (Case Western Reserve University School of Medicine, Cleveland, OH, USA ) , Lazebnik, Rina (Department of General Pediatrics and Adolescent Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    The most common cause of primary amenorrhea is congenital malformation of the MUllerian ducts, including MUllerian agenesis, also known as Mayer-Rokitansky-KUster-Hauser syndrome (MRKH). Most general gynecologists and primary care physicians who see female adolescents will encounter MRKH in their careers. We present the case of an adolescent with MRKH who reported secondary, instead of primary amenorrhea. We discuss the subtleties of diagnosing MRKH, especially when patient history may not always be accurate. Because MRKH had not been included in the differential diagnosis for delayed menses, this patient was initially misdiagnosed. Delayed diagnosis of MRKH may harm patients by delaying assessment of concomitant renal, skeletal, hearing, and cardiac defects, which might otherwise impact the treatment plan.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Newborn Screening Saves Lives but Cannot Replace the Need for Clinical Vigilance  

    Neemuchwala, F. (Department of Pediatric Pulmonary Medicine, Michigan Medicine, Ann Arbor, MI, USA ) , Taki, M. (Department of Allergy, Asthma and Immunology, Children's Hospital of Michigan Specialty Center, Detroit, MI, USA ) , Secord, E. (Department of Allergy, Asthma and Immunology, Children's Hospital of Michigan Specialty Center, Detroit, MI, USA ) , Nasr, S. Z. (Department of Pediatric Pulmonary Medicine, Michigan Medicine, Ann Arbor, MI, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Newborn screening for cystic fibrosis (CF) enables early diagnosis and treatment leading to improved health outcomes for patients with CF. Although the sensitivity of newborn screening is high, false-negative results can still occur which can be misleading if clinicians are not aware of the clinical presentation of CF. We present a case of a young male with negative newborn screen diagnosed for CF. He was diagnosed at 3 years of age despite having symptoms indicative of CF since infancy. The delayed diagnosis resulted in diffuse lung damage and poor growth.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Type IV Laryngotracheoesophageal Cleft Associated with Type III Esophageal Atresia in 1p36 Deletions Containing the RERE Gene: Is There a Causal Role for the Genetic Alteration?  

    Pelizzo, Gloria (Pediatric Surgery Unit, Pediatric Surgery Unit, Children's Hospital “G. Di Cristina”, ARNAS “Civico-Di Cristina-Benfratelli”, Palermo, Italy ) , Puglisi, Aurora (Pediatric Anesthesiology and Intensive Care Unit, Pediatric Anesthesiology and Intensive Care Unit, Children's Hospital “G. Di Cristina”, ARNAS “Civico-Di Cristina-Benfratelli”, Palermo, Italy ) , Lapi, Maria (Pediatric Anesthesiology and Intensive Care Unit, Pediatric Anesthesiology and Intensive Care Unit, Children's Hospital “G. Di Cristina”, ARNAS “Civico-Di Cristina-Benfratelli”, Palermo, Italy ) , Piccione, Maria (Department of Sciences for Health Promotion and Mother and Child Care “Giuseppe D'Alessandro”, University of Palermo, Palermo, Italy ) , Matina, Federico (Neonatal Intensive Care Unit, A.O.U.P. “P. Giaccone”, Department of Sciences for Health Promotion and Mother and Child Care “G. D'Alessandro”, Palermo, Italy ) , Busè (Department of Sciences for Health Promotion and Mother and Child Care “Giuseppe D'Alessandro”, University of Palermo, Pa) , , Martina , Mura, Giovanni Battista , Re, Giuseppe , Calcaterra, Valeria
    Case reports in pediatrics v.2018 ,pp. 1 - 5 , 2018 , 2090-6803 ,

    초록

    The causes of embryological developmental anomalies leading to laryngotracheoesophageal clefts (LTECs) are not known, but are proposed to be multifactorial, including genetic and environmental factors. Haploinsufficiency of the RERE gene might contribute to different phenotypes seen in individuals with 1p36 deletions. We describe a neonate of an obese mother, diagnosed with type IV LTEC and type III esophageal atresia (EA), in which a 1p36 deletion including the RERE gene was detected. On the second day of life, a right thoracotomy and extrapleural esophagus atresia repair were attempted. One week later, a right cervical approach was performed to separate the cervical esophagus from the trachea. Three months later, a thoracic termino-terminal anastomosis of the esophagus was performed. An anterior fundoplication was required at 8 months of age due to severe gastroesophageal reflux and failure to thrive. A causal role of 1p36 deletions including the RERE gene in the malformation is proposed. Moreover, additional parental factors must be considered. Future studies are mandatory to elucidate genomic and epigenomic susceptibility factors that underlie these congenital malformations. A multiteam approach is a crucial factor in the successful management of affected patients.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Pediatric Pancreatic Tuberculosis: A Case Report and Review of the Literature  

    Zhang, Yajun (Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China ) , Tao, Yuhong (Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Pancreatic tuberculosis (TB) is an uncommon form of extrapulmonary TB and represents a diagnostic challenge for physicians. Pancreatic TB presents with nonspecific signs and symptoms and may mimic malignancy. However, pancreatic TB rarely occurs in children. Here, we present a case of a 5-year-old girl with pancreatic TB and markedly elevated serum cancer antigen- (CA-) 125 levels, thus raising the suspicion of malignancy, but positivity for Mycobacterium tuberculosis DNA was noted. The patient recovered after being administered standard antitubercular therapy for one year. This case suggests that clinicians should have a heightened suspicion of pancreatic TB when faced with pancreatic lesions despite the fact that increased CA-125 may indicate malignancy. Laparoscopy combined with peritoneal biopsy and polymerase chain reaction (PCR) may provide a new method to confirm the diagnosis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Clear Cell Papulosis: A Rare Pediatric Dermatosis  

    Tan, Keng Wein Jeanette (Department of Pediatric Medicine, KK Women's and Children's Hospital, Singapore ) , Chong, Jin Ho (Department of Dermatology, KK Women's and Children's Hospital, Singapore ) , Koh, Jean Aan Mark (Department of Dermatology, KK Women's and Children's Hospital, Singapore)
    Case reports in pediatrics v.2018 ,pp. 1 - 2 , 2018 , 2090-6803 ,

    초록

    The diagnosis and management of pediatric hypopigmented lesions can be challenging given their wide range of differentials. In this case report, we present a case of a 3-year-old Chinese boy who was initially treated for tinea versicolor but subsequently diagnosed to have clear cell papulosis. The features, diagnosis, and management of clear cell papulosis are discussed in this article to raise awareness of this condition amongst pediatricians.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Traumatic Epiglottitis following a Blind Insertion of the Hand during Convulsion  

    Yokoyama, Koji (Department of Pediatrics, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan)
    Case reports in pediatrics v.2018 ,pp. 1 - 2 , 2018 , 2090-6803 ,

    초록

    Traditionally, it has been recommended that first-responders should place chopsticks or their hand in a child's mouth to prevent the child from biting their tongue during convulsion. The practice persists locally in parts of Japan and can cause adverse events. We report a traumatic epiglottitis following the thrusting of a guardians' hand into a 13-month-old girl's mouth to prevent her from biting her tongue.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Unsuspected Cause of Respiratory Distress: Unrecognized Esophageal Foreign Body  

    Baddouh, Naima (Department of Emergency Unit, Mother and Child Hospital, Mohammed VI University Hospital, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco ) , Arjdal, Lahcen (Department of Otolaryngology-Head and Neck Surgery, Mohammed VI University Hospital, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco ) , Raji, Abdelaziz (Department of Otolaryngology-Head and Neck Surgery, Mohammed VI University Hospital, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco ) , Bourrous, Mounir (Department of Emergency Unit, Mother and Child Hospital, Mohammed VI University Hospital, Faculty of Medicine, Cadi Ayyad University, Marrakech, Morocco)
    Case reports in pediatrics v.2018 ,pp. 1 - 3 , 2018 , 2090-6803 ,

    초록

    Summary . Foreign bodies in esophagus are avoidable accidents that occur most often in children younger than 3 years. The most common presenting symptoms are dysphagia, drooling, and vomiting. Revelation by respiratory distress is a rare and unusual condition. Objective . We describe and discuss the case of an esophageal foreign body, in which the patient presented with respiratory distress. Case report . A two-year-old child was admitted to the emergency department for acute respiratory distress. He had no history of choking episodes or dysphagia. Nevertheless, he was brought by his parents several times for a persistent cough and wheezing that was treated as asthma for a month. Pulmonary examination had revealed polypnea, suprasternal recession, scattered snoring, and diffuse wheeze. As part of his assessment, a chest X-ray was demanded. It had shown, as unexpected, a nonmetallic foreign body in the upper thoracic esophagus. A clothing button was removed by hypopharyngoscopy under sedation without any incident. Subsequent follow-up had not shown any complications related to this episode. Conclusion . Large esophageal foreign bodies can impinge on the trachea causing upper respiratory tract signs. We alert clinicians on variation in the presentation of foreign body ingestion, and we emphasize the importance of an early diagnosis and management.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   A 27-Month-Old Boy with Polyuria and Polydipsia  

    Lee, Yvonne (Department of Pediatrics, Section of Endocrinology, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA ) , Winnicki, Erica (Department of Pediatrics, Section of Nephrology, University of California, San Francisco, San Francisco, CA, USA ) , Butani, Lavjay (Department of Pediatrics, Section of Nephrology, University of California, Davis, Sacramento, CA, USA ) , Nguyen, Stephanie (Department of Pediatrics, Section of Nephrology, University of California, Davis, Sacramento, CA, USA)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Psychogenic polydipsia is a well-described phenomenon in those with a diagnosed psychiatric disorder such as schizophrenia and anxiety disorders. Primary polydipsia is differentiated from psychogenic polydipsia by the lack of a clear psychotic disturbance. We present a case of a 27-month-old boy who presented with polyuria and polydipsia. Laboratory studies, imaging, and an observed water deprivation test were consistent with primary polydipsia. Polydipsia resolved after family limited his fluid intake and began replacing water drinking with other transition objects and behaviors for self-soothing. This case highlights the importance of water deprivation testing to differentiate between causes of polyuria, thereby avoiding misdiagnosis and iatrogenic hyponatremia. Secondly, primary polydipsia can result during the normal stages of child development without overt psychiatric disturbances.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Sepsis and Pleural Empyema Caused by Streptococcus pyogenes after Influenza A Virus Infection  

    Ochi, Fumihiro (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Tauchi, Hisamichi (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Jogamoto, Toshihiro (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Miura, Hiromitsu (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Moritani, Tomozo (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Nagai, Kozo (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan ) , Ishii, Eiichi (Department of Pediatrics, Ehime University Graduate School of Medicine, Ehime, Toon, Japan)
    Case reports in pediatrics v.2018 ,pp. 1 - 4 , 2018 , 2090-6803 ,

    초록

    Streptococcus pyogenes (also referred to as group A streptococci, GAS) causes severe invasive diseases such as bacteremia, necrotizing fasciitis, pneumonia, osteomyelitis, septic arthritis, and toxic shock syndrome in children. However, there are only a few reports on pleural empyema caused by GAS in children. Here, we report the case of a 4-year-old boy who presented with pleural empyema due to GAS after influenza A virus infection. With intravenous antibiotic administration and continuous chest-tube drainage, followed by video-assisted thoracoscopic surgery, his condition improved. During the clinical course, cytokines induced in response to the influenza virus, especially IL-1 β and IL-10, were elevated 1 week after influenza A infection, but these decreased as the symptoms improved. Reportedly, the IL-10 production increases during influenza virus-bacteria superinfection. These observations suggest that the immunological mechanisms induced by the influenza virus can play an important role in influencing the susceptibility to secondary bacterial infections, such as GAS, in children.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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