• Childhood Kidney Diseases
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• 제22권1호
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• pp.32-35
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• 2018

Acute idiopathic scrotal edema (AISE) is a self-limiting condition that is characterized by acute scrotal swelling and erythema. AISE is a very rare cause of acute scrotum, especially in neonates. We report a case of AISE in a 26-day-old infant who was admitted to the outpatient clinic with swelling and erythema of the penis and scrotum for a week. His vital signs were stable, and laboratory findings were non-specific. A diagnosis of AISE was made using scrotal ultrasonography with color Doppler. His symptoms resolved within four days after the onset of supportive treatment, and he was discharged from the hospital. In neonates with an acute scrotum, AISE should be considered to prevent unnecessary surgical exploration.

• 대한한방소아과학회지
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• 제16권1호
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• pp.181-202
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• 2002

Anorexia is one of the most common childhood-onset symptom and is Icing-term progress. Public interest in anorexia has increased along with debate concerning painless treatment. This study was progressed for oriental medical treatment for anorexia in china. The purpose of this study is current oriental medical approach to anorexia. Anorexia was named 'yanshizheng(厭食症)' in chinese medicine. The study for anorexia in china consist of basic, clinical, experimental study. In the oriental medicine, the reason of anorexia is weekness of the spleen and the stomach(脾胃虛弱), indigestion for milk and food(乳食停滯). The method of treatment is strengthening the spleen and pacification the stomach(健脾和胃). It should help primary care providers in their assessment of common child health problem.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권4호
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• pp.267-277
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• 2016

Attention-deficit hyperactivity disorder (ADHD) is a common, childhood-onset, neuropsychiatric disorder with an estimated prevalence of 2-7.6% in Korean children. Although the etiology of ADHD is not well understood, evidence from genetic factor and environmental factor studies suggests that ADHD results from a gene environmental interaction. In the current study, we reviewed the evidence for and clinical implications of the hypothetical roles of organophosphate pesticides, organochlorine pesticides, polychlorinated biphenyls, phthalate, bisphenol, polyfluoroalkyl chemicals, polycyclic aromatic hydrocarbons, mercury, lead, arsenic, cadmium, manganese, tobacco, alcohol as harmful risk factors in the development of ADHD.

• 정신신체의학
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• 제3권2호
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• pp.222-231
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• 1995

The author reported a case of short-term dynamic psychotherapy in which relatively good therapeutic results were obtained. And I reviewed several therapeutic factors thought to be important in shot-term dynamic psychotherapy from various literatures. In this case, the frequency of session was limited due to her current reality situations. She had suffered from some adjustmental problems and marital conflict before the onset of the illness. The author could grasp the cental theme of her problems early in treatment period and discussed over it including it's influence on current situation and early childhood with th patient. We also discussed about the relationship between the past and current reality so that she could realize her real problem. At the same time, therapeutic effect was enhanced by family therapy and temporary use of medication.

• Childhood Kidney Diseases
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• 제20권1호
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• pp.6-10
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• 2016

Poststreptococcal glomerulonephritis (PSGN) is one of the most recognized diseases in pediatric nephrology. Typical clinical features include rapid onset of gross hematuria, edema, and hypertension, and cases are typically preceded by an episode of group A ${\beta}$-hemolytic streptococcus pharyngitis or pyoderma. The most common presenting symptoms of PSGN are the classic triad of glomerulonephritis: gross hematuria, edema, and hypertension. However, patients with PSGN sometimes present with unusual or atypical clinical symptoms that often lead to delayed diagnosis or misdiagnosis of the disease and increased morbidity. Additionally, the epidemiology of postinfectious glomerulonephritis (PIGN), including PSGN, has changed over the past few decades. This paper reviews atypical clinical manifestations of PSGN and discusses the changing demographics of PIGN with a focus on PSGN.

• Medical Lasers
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• 제10권2호
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• pp.120-122
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• 2021

Partial unilateral lentiginosis (PUL) is an unusual pigmentary disorder characterized by numerous lentigines on the skin, with onset usually during early childhood. It is characterized by unilateral segmental distribution with sharp margins in one or more dermatomes. Conventional laser treatments result in several adverse effects, such as mottled pigmentary changes (hyper or hypopigmentation), especially in people of Asian descent. A 57-year-old man with PUL on the neck was treated with a high-fluence 1,064-nm Q-switched (QS) neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser. After 20 treatment sessions, the lesions markedly improved without adverse effects or recurrence. We suggest that high-fluence 1,064-nm QS Nd:YAG laser treatment is an effective and safe modality for PUL.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.15-20
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• 2023

The onset of many lifelong mental illnesses is during childhood and adolescence. There has been an increase in these conditions among children and adolescents especially, during the COVID-19 pandemic. It is essential to promote mental health literacy (MHL) as a preventive and universal intervention for children and adolescents. Positive mental health status in adolescence is related to an increased level of MHL, and various MHL programs at schools have been reported to be effective for adolescent students worldwide. Recently, MHL programs have been developed in South Korea to be used by schoolteachers. There is a need for active dissemination and development of future programs. For continuous and effective education, it is desirable to include MHL education in regular school curricula.

• Childhood Kidney Diseases
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• 제26권2호
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• pp.91-96
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• 2022

The messenger RNA-based vaccine for the coronavirus disease 2019 (COVID-19) may induce glomerulonephritis, including immunoglobulin A nephropathy (IgAN). New-onset IgAN triggered by vaccination against COVID-19 has been reported rarely, especially in children. Herein, we report a pediatric case of newly diagnosed IgAN after administration of the Pfizer vaccine for COVID-19. A 12-year-old girl was referred to our hospital for evaluation of gross hematuria after inoculation with the second dose of Pfizer's COVID-19 vaccine; she had no adverse effects after the first dose. At the time of admission, she showed heavy proteinuria and persistent hematuria. Kidney biopsy revealed an IgAN, and she was treated with an oral steroid and an angiotensin-converting enzyme inhibitor. Four months after discharge, the proteinuria and hematuria resolved completely.

• Childhood Kidney Diseases
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• 제27권2호
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• pp.89-96
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• 2023

Renal nutcracker syndrome (NCS) is the entrapment of the left renal vein between the abdominal aorta and superior mesenteric artery. Although uncommon in pediatric patients, early diagnosis is crucial to avoid potential severe complications, such as anemia or renal vein thrombosis. NCS presents a variety of symptoms, most commonly including "Triade's symptoms"-hematuria, proteinuria, and flank pain. Diagnosis and treatment include invasive and noninvasive management, although due to a lack of pediatric clinical studies, management is widely variable. Conservative diagnosis and treatment are recommended as a first-line option for pediatric patients; however, invasive surgical treatment may be recommended based on symptom severity. This review aims to provide a comprehensive overview of NCS in children to better understand the widely variable incidence, occurrence, and management from early on to allow for early-onset management.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제14권1호
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• pp.112-122
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• 2003

목 적：행동장애의 생물학적인 원인을 규명하고 연령 및 정신병리와의 상호관계를 이해하기 위하여 혈장내의 5-HT와 5-HIAA 농도를 측정하여 대조군과 비교하고, 정신병리, 연령간의 상호관계를 연구하였다. 방 법：1999년 3월부터 2002년 3월 사이 서울대학교병원 소아 ${\cdot}$ 청소년정신과를 방문한 환아중 행동장애라고 판단되는 소아 또는 청소년 환자 41명을 대상으로 하였다. 공격적인 행동, 규칙위반, 반항행동의 평가에는 DSM-IV 진단기준에 입각한 부모평가척도를 사용하였으며, 혈장내의 5-HT 및 5-HIAA 농도의 측정에는 HPLC를 사용하였다. 결 과：1) 소아형 ${\cdot}$ 행동장애, 청소년형 ${\cdot}$ 행동장애, 그리고 대조군간에 혈장내의 5-HT 및 5-HIAA농도간의 의미 있는 차이는 관찰되지 않았다(5-HT, F=2.37, df 2, 61, p>0.05). 2) 혈장내의 5-HT와 5-HIAA의 농도와 공격성(aggression) 및 규칙위반(rule violation)간에는 의미 있는 상관성은 관찰되지 않았다. 3) 혈장내의 5-HT농도와 반항행동(oppositional behavior)간에는 의미 있는 상관성이 관찰되었다.(소아형, Pearson 상관계수 0.43, p<0.05, 청소년형, Pearson 상관계수 0.48, p<0.05). 4) 행동장애군에서(소아형, 청소년형 모두 포함) 연령과 5-HT 및 5-HIAA농도간의 의미 있는 상관성은 관찰되지 않았다. 대조군에서도 역시 의미 있는 상관성은 관찰되지 않았다. 결 론：이러한 소견은 행동장애의 생물학적 원인 중의 하나로 serotonin계의 기능장애라는 가설은 지지하지 못하는 소견이다. 공격성 또는 규칙위반보다는 반항행동이 더 밀접한 관계가 있다. 개체발생적인 과정에 있어서도 행동장애군에서 상관성은 관찰되지 않았다. 향후의 연구에서는 반항장애와 serotonin 계와의 상관성이 연구되어야 한다.