• Title/Summary/Keyword: Short Stature

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Clinical trial study for failure to thrive in recent journals of Traditional Chinese Medicine (성장 장애에 관한 임상 연구의 최근 동향 -최근 중의 잡지를 중심으로-)

  • Lee, Ji-Young;Jeong, Min-Jeong;Choi, Ji-Myuoung;Yu, Sun-Ae;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.1
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    • pp.155-171
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    • 2007
  • Objectives : The aim of this study was to investigate the treatment of failure to thrive in current Traditional Chinese Medical Journals. Methods : To figure out the failure to thrive, Chinese Medical Journals from China National Knowledge Infrastructure(CNKI) which was published in 1994 to 2005 were analyzed. 矮(小)-whae(so) was searched. Results : Eleven articles were selected. 5 of them were used herbal medicine, and were showed that the total improvement rate was higher than 70% in failure to thrive. 2 of them were used acupuncture, and the last of them were used a therapy of combining Traditional Chinese Medicine with western medicine. Conclusions : The Oriental medical treatments for failure to thrive were presumed to be effective in most articles. But we think that the more studies are needed.

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A Comparative Study for Anthropometric Measurements of Highschool Boys and Highschool Boys Cyclist (남자 고등학생과 남자 고등학교 사이클 선수의 신체 계측치 비교 연구)

  • Park, Hyun-Jeong;Do, Wol-Hee
    • Fashion & Textile Research Journal
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    • v.17 no.2
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    • pp.258-264
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    • 2015
  • This study provides abasis for the development of high functional cycle wear with clothing comfort and fitness for highschool boy cyclists by a comparison of the somatotype of highschool boys cyclists and general highschool boys. This study directly measured 44 anthropometric targeted cyclists across Korea. "The sixth national standard physical survey" data targeted 16 to 18-year-old male adolescents; subsequently, anthropometric measurement data was provided by 766 people for research. Highschool boy cyclists used t-test to compare the differences in body type. The results in this study are follows. Highschool boys cyclists(compared to regular highschool boys) indicated a great somatotype stature and weight. The differences in the cervical height and the acromion height results of, cyclist appeared smaller. Cyclists angle of shoulder was smaller. The upper body of highschool boys cyclist was greater than the difference between chest breadth and bust breadth with along biacromion length. The waist front length of the cyclist was a short cycle ride upon the attitude of the streamlined. Highschool boy cyclists indicated that the muscles of the arm portion was more developed compared to general highschool boys. The lower body had less abdominal fat with a significantly developed thigh and calf.

DENTAL TREATMENT IN A PRADER-WILLI SYNDROME PATIENT : A CASE REPORT (프라더윌리증후군 환자에서의 치과 치료 : 증례보고)

  • Lee, Soo Jeong;Baek, Kwangwoo
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.67-71
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    • 2015
  • Prader-will syndrome (PWS) is a genetic disorder displayed with short stature and behavioral problems. The major manifestation is hyperphagia and obesity but there is no known effective drug that can solve this problem. This article presents a case report of a 3-year 9-month old girl affected with PWS syndrome treated under general anesthesia due to lack of cooperation and multiple caries. The dentist should work as a member of the multidisciplinary medical team. Careful long term follow up is required to prevent dental caries and periodontal diseases as well as maintain good oral hygiene. A strict diet control should also be encouraged.

A novel de novo mosaic mutation in PHEX in a Korean patient with hypophosphatemic rickets

  • Yang, Misun;Kim, Jinsup;Yang, Aram;Jang, Jahyun;Jeon, Tae Yeon;Cho, Sung Yoon;Jin, Dong-Kyu
    • Annals of Pediatric Endocrinology and Metabolism
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    • v.23 no.4
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    • pp.229-234
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    • 2018
  • X-linked hypophosphatemic rickets is caused by loss-of-function mutations in PHEX, which encodes a phosphate-regulating endopeptidase homolog. We report a 26-year-old man with X-linked hypophosphatemic rickets who showed decreased serum phosphate accompanied by bilateral genu valgum and short stature. He had received medical treatment with vitamin D (alfacalcidol) and phosphate from the age of 3 to 20 years. He underwent surgery due to valgus deformity at the age of 14 and 15. Targeted gene panel sequencing for Mendelian genes identified a nonsense mutation in PHEX (c.589C>T; p.Gln197Ter) and a mosaic pattern where only 38% of sequence reads showed the variant allele. This mutation was not found in his mother, who had a normal phenotype. This is a case of a sporadic nonsense mutation in PHEX and up to date, this is the first case of a mosaic mutation in PHEX in Korea.

Growth Hormone Therapy in PWS with Mobile Application-Living with PWS

  • Im, Minji
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.4 no.2
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    • pp.42-44
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    • 2018
  • Prader-Willi syndrome (PWS) is a multisystemic complex disorder characterized by hyperphagia and impaired satiety which lead to severe and early obesity. In infancy, hypotonia and poor suck are main problems, and a child goes through Failure-to-thrive. During childhood, clinical manifestations change to food seeking as well as excessive weight gain, short stature, developmental delay, cognitive disability and behavioral problems. Also, growth hormone insufficiency is frequent. Most patients receive the recombinant growth hormone (rGH) therapy that provides improvement in growth, body composition, and physical attributes. The clinical care guideline for rGH therapy in PWS had been noticed in 2013. The rGH therapy helps in body fat, lean body mass, height SDS and head circumference. Also, the rGH therapy helps motor function, psychomotor development and cognition and behavioral issues.In Samsung medical center, there are clinical care guidelines for rGH therapy in PWS and an useful application for the patients. 'Living with PWS', the name of an moblie application for PWS patients, was introduced in the lecture. The application revised to version 2. It was made more convenient to users than in version 1. It helps caregivers to schedule the rGH therapy and to monitor height and weight.

Noonan syndrome and RASopathies: Clinical features, diagnosis and management

  • Lee, Beom Hee;Yoo, Han-Wook
    • Journal of Genetic Medicine
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    • v.16 no.1
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    • pp.1-9
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    • 2019
  • Noonan syndrome (NS) and NS-related disorders (cardio-facio-cutaneous syndrome, Costello syndrome, NS with multiple lentigines, or LEOPARD [lentigines, ECG conduction abnormalities, ocular hypertelorism, pulmonic stenosis, abnormal genitalia, retardation of growth and sensory neural deafness] syndrome) are collectively named as RASopathies. Clinical presentations are similar, featured with typical facial features, short stature, intellectual disability, ectodermal abnormalities, congenital heart diseases, chest & skeletal deformity and delayed puberty. During past decades, molecular etiologies of RASopathies have been growingly discovered. The functional perturbations of the RAS-mitogen-activated protein kinase pathway are resulted from the mutation of more than 20 genes (PTPN11, SOS1, RAF1, SHOC2, BRAF, KRAS, NRAS, HRAS, MEK1, MEK2, CBL, SOS2, RIT, RRAS, RASA2, SPRY1, LZTR1, MAP3K8, MYST4, A2ML1, RRAS2). The PTPN11 (40-50%), SOS1 (10-20%), RAF1 (3-17%), and RIT1 (5-9%) mutations are common in NS patients. In this review, the constellation of overlapping clinical features of RASopathies will be described based on genotype as well as their differential diagnostic points and management.

A novel variant of PHEX in a Korean family with X-linked hypophosphatemic rickets

  • Kim, Sejin;Kim, Sungsoo;Kim, Namhee
    • Journal of Genetic Medicine
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    • v.19 no.1
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    • pp.27-31
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    • 2022
  • X-linked dominant hypophosphatemic rickets are the most common form of familial hypophosphatemic rickets resulting from hypophosphatemia caused by renal phosphate wasting, which in turn is a result of loss-of-function mutations in PHEX. Herein, we report a 39-year-old female with short stature and skeletal deformities and 12-month-old asymptomatic daughter. The female has a history of multiple surgical treatments because of lower limb deformities. Her biochemical findings revealed low serum phosphorus levels with elevated serum alkaline phosphatase activity and normal serum calcium levels, suggesting presence of hypophosphatemic rickets. To identify the molecular causes, we used a multigene testing panel and found a mutation, c.667dup (p.Asp223GlyfsTer15), in PHEX gene. To the best of our knowledge, this is a novel mutation. A heterozygous form of the same variant was detected in daughter, who showed no typical symptoms such as bow legs, frontal bossing, or waddling gate, but presented early signs of impaired mineralization in both X-ray and biochemical findings. The daughter was initiated onto early medical treatment with oral phosphate supplementation and an active vitamin D analog. Because the daughter was genetically diagnosed based on a family history before the onset of symptoms, appropriate medical management was possible from early infancy.

KABUKI SYNDROME WITH PHONETIC & DENTAL PROBLEM: A CASE REPORT (구강내 이상소견과 언어 장애를 보이는 Kabuki 증후군환자의 증례보고)

  • Lee, Jong-Seok;Ko, Seung-O;Leem, Dae-Ho;Baek, Jin-A;Shin, Hyo-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.6
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    • pp.681-683
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    • 2007
  • Kabuki(Niikawa-Kuroki) syndrome was first reported by Niikawa et al(1981). The faces of the patients are similar to the make-up of traditional Japanese Kabuki actors: long palpebral fissures, an ectropium of the lateral third of the eyelids, and arching eyebrows with sparse lateral halves. Craniofacial findings include a depressed nasal tip, short nasal septum, large and prominent ears, and micrognathia. Other main features area mild to moderate mental deficiency, short stature, skeletal and dermatoglyphic abnormalities, including prominent finger tip pads. Oral anomalies are common in KS(over 60%) and include abnormal dentition, widely spaced teeth, cleft palate or lip, high vault of palate, hypodontia, conical incisors, screw driver-shaped incisors and ectopic upper 6-year molars. The increased occurrence of cleft lip and palate or the development of a high vault of palate has been described by a number of authors. This condition is believed to be common in Japan, but has been reported from other parts of the world. The objective of this presentation is to report a case of this syndrome in six-year-old girl, with characteristic findings.

A Study on the Somatotype Classification of Women in the Early 20's (20대 전반 여성의 체형분류에 관한 연구)

  • Kim, In-Mi;Kim, So-Ra
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.2
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    • pp.35-55
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    • 2009
  • The purpose of this study was to analyze the somatotypes of women in the early 20's, which were likely to deform due to bad posture in growth period. Accordingly, bodies of women aged 20 to 24, whose growth stopped, were measured directly and indirectly, and factors related to body shapes were extracted, body shapes were categorized based on the data, and the characteristics of each body shape were analyzed. As a result, 10 factors related to body shapes were extracted in the factor analysis, and body shapes were categorized into 6 types. Type 1 was the volume of body that was big and the longest; and the general frame was large. The straight body shape with small back protrusion; the shoulder is relatively thick and the width of the shoulder was normal. Type 2 was the volume of body that was the biggest and the upper body was the longest; the general frame was of average height. The forward body shape with the back flat; the shoulder was very thick, wide, and serious leaning forward. Type 3 was a body that was thin and the shortest. The sway-back body shape with big curvature at the back; the shoulder was thin, narrow, and straight. Type 4 was a body that was short stature, and the general frame was of average build. The forward body shape with the most serious back protrusion; the shoulder was normally thick, narrow, and straight. Type 5 was a group with small body, and the lower body and general frame are long. The sway-back body shape with protrusion at the upper shoulder and the sides leaning backward; the shoulder was thin, wide, and leaning forward. Type 6 was a thin and short body; and the general frame was small. The lean-back body shape with the smallest back protrusion and leaning backward; the shoulder was thin, narrow, and leaning backward. Characteristics of the classified body shapes can be used in producing ready-made clothes, and it is hoped that there will be follow-up studies on clothing pattern design and production based on this result.

TREATMENT OF THE CHILD WITH ROBINOW SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT (Robinow 증후군 환아의 전신마취를 이용한 치료증례보고)

  • Park, Jae-Hong;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.601-608
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    • 1996
  • Robinow syndrome or fetal face syndrome is a rare inherited disorder characterized by short stature, mesomelic brachymelia, hypoplastic genitalia, and a typical facial appearence ("fetal face") with frontal bossing, hypertelorism, ear abnormalities, a short upturned nose, long philtrum, micrognathia, and macrocephaly. Intraoral features have included quite a few dental cavities, crowding, hypoplastic uvula, cleft lip or/and cleft palate, gingival hyperplasia, alveolar hyperplasia, enamel hypoplasia, delayed eruption, and congenital missing of the permanent teeth. We report on a 10 years old girl with Robinow syndrome. The patient had most of the typical anomalies of the syndrome and negative family history but, in addition, had mental retardation, hearing loss, and serous otitis media. Intraoral findings included dental cavities, crowding, hypoplastic uvula, repaired cleft palate, and mouth breathing. Dental treatment and V-tube insertion(by dept. of ENT) were performed under general anesthesia. In all cases of Robinow syndrome, thorough evaluation and united treatments with medical specialists should be performed.

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