• Title/Summary/Keyword: Nephrology

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Circadian Rhythm of ADH, Hypercalciuria, and Solute Diuresis as Pathogenesis of Enuresis (야뇨증의 병인 기전 -항이뇨호르몬, 고칼슘뇨증, 용질성 이뇨)

  • Kang, Hee-Gyung
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.1-8
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    • 2012
  • Nocturnal polyuria is one of the main pathogenic mechanisms of enuresis. Disturbance of circadian rhythm of antidiuretic hormone (ADH or AVP), hypercalciuria, and/or solute diuresis are considered to cause nocturnal polyuria, which in turn causes enuresis in patients with relatively small bladder capacity and high threshold for awakening. Evaluation of these factors would guide the therapeutic approach for enuresis.

A Case of Acute Idiopathic Scrotal Edema in a Newborn

  • Baek, Sung Jin;Choi, Won Jee;Yoo, Kee Hwan;Yim, Hyung Eun
    • Childhood Kidney Diseases
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    • v.22 no.1
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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.

Mini-review; Melamine-related Urinary Stone Disease (Mini-review: 멜라민에 의한 신요로계 결석)

  • Kang, Hee-Gyung
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.21-25
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    • 2009
  • Last year, an epidemic of infantile urinary stone disease developed in China. Investigation revealed that melamine-tainted diary product caused urinary stone in these infants. Young infants were susceptible to the melamine toxicity and dehydration or other stone-prone factors aggravated the toxicity. Melamine-related urinary stones were small, multiple, and mainly composed of uric acid, thus conservative treatment of hydration and urine alkalinization worked well in majority of the patients.

Growth Hormone Treatment in Children with Chronic Kidney Disease (만성 소아 신질환 환자에서의 성장호르몬 치료 인제의대 부산백병원 소아청소년과)

  • Chung, Woo-Yeong
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.14-20
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    • 2009
  • Growth retardation is a common consequenc of chronic kidney disease (CKD) in childhood. Many recent clinical and experimental data indicate that growth failure in CKD is mainly due to a relative GH insensitivity and functional IGF-I deficiency. Glucocorticoids also glucocorticoids interfere with the integrity of the somatotropic hormone axis at various levels. Over the past 10 years, recombinant growth hormone (rhGH) has been used to help short children with chronic kidney disease. A GH dosage of 0.35 mg/kg/week (28 IU/$m^2$/week) appears efficient and safe. Some clinical trial data show that final height will be within the normal target height range when GH treatment is continued for many years without remarkable adverse events.

Acute Rhabdomyolysis : Importance of MRI and Bone Scintigraphy (급성 횡문근융해증 : 자기공명영상과 골주사의 중요성)

  • Park, Jee-Min;Shin, Hyun-Joon;Choi, Young-Chil
    • Childhood Kidney Diseases
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    • v.13 no.1
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    • pp.92-95
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    • 2009
  • Rhabdomyolysis is a potentially life-threatening disease which may result from a variety of causes. We describe the features of magnetic resonance imaging(MRI) and bone scintigraphy, and their importance for diagnosis and treatment of a patient with rhabdomyolysis.

An overview and the future of pediatric subspecialty board certification of the Korean Pediatric Society (대한소아과학회 세부전문의 제도의 현황과 미래)

  • Lee, Chong Guk
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.555-558
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    • 2008
  • Committee for pediatric subspecialty board certification of the Korean Pediatric Society (KPA) was established for the subspecialty certification and formal training programs in 2005. Pediatric allergy and pulmonology was the first pediatric subspecialty among 9 subdivisions of KPA to petition for the certification in 2006, and 7 additional subdivisions of KPA, pediatric cardiology, pediatric endocrinology, pediatric gastroenterology and nutrition, pediatric infectious diseases, neonatology, pediatric nephrology, pediatric neurology, respectively, were followed in 2007. Finally, pediatric hemato-oncology joined this program in 2008. An overview and the future of Korean pediatric subspecialties are described.

Cystic fibrosis of pancreas and nephrotic syndrome: a rare association

  • Kelekci, Selvi;Karabel, Musemma;Ece, Aydin;Sen, Velat;Gunes, Ali;Yolbas, Ilyas;Sahin, Cahit
    • Clinical and Experimental Pediatrics
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    • v.56 no.10
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    • pp.456-458
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    • 2013
  • Cystic fibrosis (CF) is a genetic disease with autosomal recessive inheritance and is common in Caucasian people. The prevalence of this disease is between 1/2,000 and 1/3,500 live births, and the incidence varies between populations. Although the CF transmembrane conductance regulator gene is expressed in the kidneys, renal involvement is rare. With advances in the treatment of CF, life expectancy has increased, and some previously unobserved disease associations are now seen in patients with CF. It is important to follow patients with CF for possible abnormalities that may accompany CF. In this paper, we present two rare cases of CF accompanied by nephrotic syndrome.

A Case of Acetaminophen-induced Acute Interstitial Nephritis Presenting with Acute Renal Failure (급성 신부전을 보인 아세트아미노펜에 의한 급성 간질성 신염 1례)

  • Jeon, Hak-Su;Ha, Tae-Sun
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.228-232
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    • 2006
  • Acute interstital nephritis can occur by acetaminophen, but it is rarely presented as acute renal failure with azotemia. We report a case of acute interstitial nephritis induced by acetaminophen in a 14-year-old girl who developed non-oliguric acute renal failure. She has taken acetaminophen to control the persistent throat pain for the last two months. Renal biopsy revealed diffuse infiltration of mononuclear inflammatory cells admixed with eosinophils in the edematous interstitia. After the discontinuation of acetaminophen and the administration of corticosteroid, the serum creatinine level returned to normal.

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A Case of Mayer-Rokitansky-K$\ddot{u}$ster-Hauser(MRKH) Syndrome with Imperforate Anus and Unilateral Renal Agenesis (편측 신장 무형성 및 쇄항을 동반한 Mayer-Rokitansky-Küster-Hauser(MRKH) 증후군 1례)

  • Kim, Tae-Hyung;Kim, Jin-Hee;Kim, Soo-Yung
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.233-237
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    • 2006
  • The clinical features of the Mayer-Rokitansky-K$\ddot{u}$ster-Hauser(MRKH) syndrome include normal female secondary sex characteristics, normal genitalia, congenital absence of vagina, rudimentary or bipartite uterus, normal ovarian function and normal ovulation, 46, XX, karyotype, frequent association of renal, skeletal and other congenital anomalies. We experienced a case of a premature infant with MRKH syndrome who had imperforate anus and unilateral renal agenesis.

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A 22-month-old Boy with Acute Glomerulonephritis Coexistent with Hemolytic Anemia and Idiopathic Thrombocytopenia

  • Park, Hye Won;Seo, Bo Seon;Jung, Su Jin;Lee, Jun Ho
    • Childhood Kidney Diseases
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    • v.19 no.1
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    • pp.43-47
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    • 2015
  • Hemolytic anemia and thrombocytopenia are rare clinical manifestations of acute glomerulonephritis. Initially, in all such cases, a diagnosis of hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, systemic lupus erythematosus, and amyloidosis should be ruled out. The presence of hemolytic anemia and thrombocytopenia is rare, but possible, in a case of acute poststreptococcal glomerulonephritis, and may result in delayed diagnosis or misdiagnosis. Correct and timely diagnosis would ensure adequate treatment in such patients. We report of a 22-month-old boy with acute glomerulonephritis coexistent with hemolytic anemia and idiopathic thrombocytopenia.