• Title/Summary/Keyword: Kidney Diseases

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Urotherapy in Non-neurogenic Pediatric Voiding Dysfunction (소아 비신경인성 배뇨장애의 배뇨치료)

  • Baek, Min-Ki
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.15-20
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    • 2012
  • Non-neurogenic pediatric voiding dysfunction is defined as a problem during bladder filling or emptying without any neurogenic abnormality in children. The appropriate treatment of non-neurogenic pediatric voiding dysfunction is important because the disorder is frequently seen in clinical practice and might result in damages of the child's bladder or kidney. Urotherapy can be defined as nonsurgical nonpharmacological treatment for voiding dysfunction, categorized into standard urotherapy or specific intervention. Understanding of the underlying pathophysiology of non-neurogenic pediatric voiding dysfunction will lead to a change in management, from expensive and potentially harmful medications and invasive procedures to effective, noninvasive treatment of urotherapy.

A Study of oriental-western medical research in tension headache (긴장성 두통의 동서의학적 고찰)

  • Park, Young-Hoi
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.1
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    • pp.1-7
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    • 2004
  • Object : The purpose of this study is difference between western medicine and oriental medicine in tension headache. Methods : A literature study on the tension headache was performed. The cause, symptoms, relationship with other diseases, pathology and treatment of oriental and western medicine were investigated. Conclusion : In western medicine, tension headache is mainly caused by emotional stress, tension of head and neck musculatures. Treatments include medication, psychologic care, alteration of habits and biofeedback. Removal of muscle tension is of main interest in western medicine. In oriental medicine, tension headache is classified into internal and external problem. The imbalance of organs of spleen, liver and kidney causes headache. Hyperactivity of liver chi and deficiency of kidney yin are main source of headache. On the treatment, relieve of muscle tension and correction of bad habit are emphasized in western medicine while promotion of harmony among the internal organs is main target in oriental medicine.

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An Urinoma in a Premature Infant with Renal Cadidiasis (신칸디다증에 합병된 요낭종 1 례)

  • Kim Yae-Jean;Kim Jung-Eun;Yoo Eun-Sun;Park Eun-Ae;Lee Sun-Wha;Lee Seung-Joo
    • Childhood Kidney Diseases
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    • v.1 no.2
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    • pp.195-197
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    • 1997
  • An urinoma(uriniferous pseudocyst, pararenal pseudocyst) denotes an encapsulated collection of urine in the perirenal or paraureteral space. It was usually reported in relation to trauma and acquired obstructive uropathy but rarely reported in renal infection including renal candidiasis. The mechanism is believed due to rupture of fornix through weakened portion of suppurated kidney and pyelosinus backflow by increased intrapelvic pressure in obstructive uropathy and fungus ball obstruction. We report a case of urinoma in a premature as the first case in Korea which developed as a complication of renal candidiasis.

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A Case of Tubulointerstitial Nephritis and Uveitis (TINU) (Tubulointerstitial Nephritis and Uveitis (TINU) 1례)

  • Hahn, Hye-Won;Ha, Il-Soo;Yoo, Young-Seok;Cheong, Hae-Il;Choi, Yong
    • Childhood Kidney Diseases
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    • v.4 no.2
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    • pp.166-169
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    • 2000
  • Tubulointerstitial nephritis and uveitis (TINU) is a rare syndrome of unknown etiology involving the kidney and the eye. This is the first case reput of TINU in Korea. The diagnosis of TINU was confirmed in a 15-year-old girl on the basis of pathologically proven tubulointerstitial nephritis and bilateral uveitis. Although the renal symptoms disappeared spontaneously, uveitis showed only partial response to topical steroid treatment and persisted fir more than 11 months. TINU should be included in the differential diagnosis of tubulointerstitial nephritis of unknown etiology.

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A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus (심낭삼출로 발병하여 스테로이드 단독치료로 호전된 소아 전신성 홍반성 낭창 1례)

  • Lee Jin-Seok;Ha Tae-Sun
    • Childhood Kidney Diseases
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    • v.8 no.1
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    • pp.80-85
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    • 2004
  • The systemic lupus erythematosus(SLE) is a systemic inflammatory disease caused by autoimmune mechanism, involving blood cells, the kidney, the central nervous system, and etc. The heart is one of the frequently involved organs but it is rare as an initial manifestation. Therefore, early suspicion and accurate diagnosis followed by aggressive immunosuppressive therapy including corticosteroid is mandatory for heart-involved patients. We experienced a case of pericardial effusion as an initial manifestation of childhood SLE, which showed immediate response to corticosteroid.

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Renal Tubular Acidosis (신세뇨관 산증)

  • Park, Hye-Won
    • Childhood Kidney Diseases
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    • v.14 no.2
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    • pp.120-131
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    • 2010
  • Renal tubular acidosis (RTA) is a metabolic acidosis due to impaired excretion of hydrogen ion, or reabsorption of bicarbonate, or both by the kidney. These renal tubular abnormalities can occur as an inherited disease or can result from other disorders or toxins that affect the renal tubules. Disorders of bicarbonate reclamation by the proximal tubule are classified as proximal RTA, whereas disorders resulting from a primary defect in distal tubular net hydrogen secretion or from a reduced buffer trapping in the tubular lumen are called distal RTA. Hyperkalemic RTA may occur as a result of aldosterone deficiency or tubular insensitivity to its effects. The clinical classification of renal tubular acidosis has been correlated with our current physiological model of how the nephron excretes acid, and this has facilitated genetic studies that have identified mutations in several genes encoding acid and base ion transporters. Growth retardation is a consistent feature of RTA in infants. Identification and correction of acidosis are important in preventing symptoms and guide approved genetic counseling and testing.

Synthesis of Japanese Encephalitis Virus in Porcine Kidney Stable Cells Observed by Fluorescent Antibody Technique and Autoradiography

  • Lee, Chong-Hoon;Fukai, Konosuke
    • The Journal of the Korean Society for Microbiology
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    • v.3 no.1
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    • pp.51-65
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    • 1968
  • The site of the synthesis of Japanese encephalitis virus(JEV) in the actinomycin-treated and infecter PS Y15 cells(a porcine kidney stable cell line) was observed by the immunofluorescent antibody technique, acridine orange staining, and the autoradiographic analysis. In the parallel studies by immunofluorescent technique and acridine orange staining it the infected cells, Viral protein(as an antigen) and viral RNA were detected at the same site of cytoplasm. In the autoradiographic analysis, the cytoplasmic labeling of $^3H$-uridine was due to the synthesis of JEV-RNA, while the nucleolus and nucleus were not involved. In the autoradiographic studies on the secton of infected cells, the $^3H$-uridine was frequently incorporated around the cytoplasmic vacuoles. This localization of labeling agreed with the site of acridine orange positive granules. The results suggest that the syntheses of the viral RNA and viral protein occurred in the similar site of cytoplasm of the infected cells, and also the virus particles seem to be assembled in the sites of the viral RNA and protein syntheses.

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Clinical Application of Shinkihuan in Hyungsang Medicine (신기환(腎氣丸)에 대(對)한 형상의학적(形象醫學的) 고찰(考察))

  • Kim Pan-Joon
    • Herbal Formula Science
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    • v.10 no.2
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    • pp.251-260
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    • 2002
  • The application of Shinkihuan umder the combination of configuration, color, pulse and symptoms leads to the following conclusions: 1. Shinkihuan is applied to the diseases related with lung, kidney and the spine: difficult urination of old people, shortness of breath, hematuria, loss of voice, distorted vision, deafness of deficiency, hemorrhoids, thirst, carbuncle, suppurative infection, children's retardation of walking and noma, etc... 2. The effect of Shinkihuan is as follows. It nourishes the lung, replenishes the kidney fluid, relieves the phlegm, tranquilizes fever due to deficiency of blood and reinforces the liver. 3. Shinkihuan is appropriate for the persons with the following characteristics in configuration: male, tall, thin, dam-typed, inverted-triangular, prominent nosed and dry.

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Changes in SNR and ADC According to the Increase in b Value in Liver Diffusion-Weighted Images

  • Cho, Jae-Hwan;Kim, Ham-Gyum
    • Journal of Magnetics
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    • v.17 no.3
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    • pp.219-224
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    • 2012
  • In the present study, changes in signal-to-noise ratio (SNR) and apparent diffusion coefficient (ADC) of the diffusion-weighted images in the normal livers were investigated using changes in b values in 1.5 T MR (magnetic resonance) instruments. Respective diffusion-weighted images and ADC map images were obtained from 20 healthy individuals by increasing b values from 50 to 400 and 800 $s/mm^2$ using 1.5T MR scanner between January 2011 and November 2011. At each ADC map image obtained at each b value, ADCs in the right hepatic lobe, spleen and kidney were measured. As a result, ADCs of the right hepatic lobe, spleen and kidney have gradually decreased in the diffusion-weighted images in accordance with the reduced b value. This outcome may be used as preliminary data for applications to various abdominal diseases.

Wilson Disease Comorbid with Hereditary Sensory Autonomic Neuropathy Type IV and Gitelman Syndrome

  • Kim, Ju Young;Park, Sung Sup;Yang, Hye Ran
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.4
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    • pp.392-399
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    • 2019
  • Wilson disease a rare autosomal recessive inherited disorder of copper metabolism, is characterized by excessive deposition of copper in the liver, brain, and other tissues. Wilson disease is often fatal if it is not recognized early and treated when it is symptomatic. Gitelman syndrome is also an autosomal recessive kidney disorder characterized by low blood levels of potassium and magnesium, decreased excretion of calcium in the urine, and elevated blood pH. Hereditary sensory autonomic neuropathy type IV (HSAN-IV), a very rare condition that presents in infancy, is characterized by anhidrosis, absence of pain sensation, and self-mutilation. It is usually accompanied by developmental delay and mental retardation. We report a case of Wilson disease manifested as fulminant hepatitis, acute pancreatitis, and acute kidney injury in a 15-year-old boy comorbid with HSAN-IV and Gitelman syndrome. Such concurrence of three genetic diseases is an extremely rare case.