• Title/Summary/Keyword: 다발성 경화증

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DENTAL MANAGEMENT OF A 46-MONTH-OLD CHILD WITH PRADER-WILLI SYNDROME : A CASE REPORT (프래더-윌리 증후군을 가진 46개월 소아의 치과치료 : 증례보고)

  • Choi, Kyung Hwa;Kim, Mi Sun;Nam, Ok Hyung;Lee, Hyo-Seol;Choi, Sung Chul;Kim, Kwangchul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.29-34
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    • 2019
  • Prader-Willi Syndrome (PWS) is a rare neurologic disorder with a prevalence 1/10,000-30,000. The cause of PWS is an abnormalities of chromosome 15q11.2-q13 which is an imprinting gene. Obesity and hyperphagia are characteristic features on a PWS adult. On the other hand, the birth weight, height and body mass index (BMI) of PWS infants are 15-20% lower than those of normal babies and there is a failure to thrive until 24-month-old. Most of PWS patients are treated under general anesthesia and conscious sedation. This case is a treatment of severe caries in a PWS 46 month-old child without general anesthesia and conscious sedation. He came to the Department of Pediatric Dentistry, Kyung Hee University Dental Hospital at Gangdong, Seoul, Korea with a trauma history. He had a medical history with heart surgery and needed to take antibiotics prophylaxis. The luxated left upper primary tooth were removed and caries treatment were done as an outpatient without general anesthesia, conscious sedation.

The Characteristics of Eosinophilc Lung Diseases Cause by Toxocara Canis Larval Infestation (개회충 유충 감염에서 발생되는 호산구성 폐질환의 특성)

  • Kim, Yu Jin;Kyung, Sun Young;An, Chang Hyeok;Lim, Young Hee;Park, Jung Woong;Jeong, Seong Hwan;Lee, Sang Pyo;Choi, Dong Chull;Jeong, Young Bae;Kang, Shin Yong
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.1
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    • pp.19-26
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    • 2007
  • Background: Toxocariasis is a common cause of eosinophilia and eosinophilic lung disease in Korea. We analyzed the characteristics of eosinophilic lung disease in toxocariasis. Method: One hundred and forty one patients with eosinophilia caused by a toxocara larval infection were evaluated from September 1, 2001 through March 30, 2006. The plain chest x-ray, chest CT(computed tomography), and bronchoalveolar larvage(BAL) were examined. A diagnosis of toxocariasis was made by ELISA using that secretory-excretory antigen from the T. canis larvae. Results: Toxocarial eosinophilic lung diseases was diagnosed in 32 out of 141 patients. Ground glass attenuation was the main feature on the CT scans in 23 out of 141 patients (71.9%). Thirteen patients (40.6%) had a random in zonal distribution on CT. Pleural effusion was observed in 9 patients (28.1%). Twenty eight patients (87.5%) complained of respiratory symptoms. Eleven patients (34.4%) had gastrointestinal symptoms and 12 patients (37.5%) had liver infiltration. Conclusions: The most common findings of the chest CT in patients with toxocariasis was a randomly distributed ground grass attenuation. A toxocara infection should be considered in a differential diagnosis of patients who exhibit pulmonary infiltration with eosinophilia in Korea.