Serum alanine aminotransferase levels are closely associated with metabolic disturbances in apparently healthy young adolescents independent of obesity.
Conclusion: Screening for ALT levels in adolescents may help to differentiate those at risk of metabolic abnormalities and thus prevent disease progression at an early age. PMID: 30477286 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 29, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Change of Coronary Artery Indices according to Coronary Dominance Pattern in Early Childhood.
Conclusion: coronary artery indices showed significant difference according to coronary dominance pattern in early childhood. It is possible to indirectly determine the coronary dominance pattern by coronary artery indices in children using echocardiography. The accuracy of CAL diagnosis can be improved by taking coronary dominance into account. PMID: 30463399 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 24, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Risk factors for the Occurrence and Persistence of Coronary Aneurysm in Kawasaki Disease.
Conclusion: This data showed early and late follow up of coronary aneurysm in our unit. Further studies are needed to determine the mechanisms involved in the disappearance of coronary aneurysm and related factors. PMID: 30463400 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 24, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Scabies mimicking graft versus host disease in a hematopoietic cell transplant recipient.
We report the first Korean case of scabies in a hematopoietic cell transplant recipient, initially suspected for skin graft versus host disease (GVHD). A T-cell acute lymphocytic leukemia patient underwent a sibling matched allogeneic HCT and developed pruritus after cell engraftment. Treatment for GVHD did not improve the symptoms. He was diagnosed with scabies after 30 days of symptom onset. PMID: 30428645 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 16, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Renal replacement therapy in neonates with an inborn error of metabolism.
Authors: Cho H Abstract Hyperammonemia can caused by several different genetic inborn errors of metabolism including urea cycle defects, organic acidemias, fatty acid oxidation defects, and certain disorders of amino acid metabolism. High levels of ammonia are extremely neurotoxic, leading to astrocyte swelling, brain edema, coma, severe disability, and even death. Thus, emergency treatment for hyperammonemia must begin before a precise diagnosis is established. In neonates with hyperammonemia caused by an inborn error of metabolism, a few studies have suggested that peritoneal dialysis, intermittent hemod...
Source: Korean Journal of Pediatrics - November 9, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

High antistreptolysin O titer is associated with coronary artery lesions in patients with Kawasaki disease.
Conclusion: It is not certain whether acute streptococcal infection may cause KD, but this study revealed that KD with high ASO titers showed higher rates of severe clinical course. It may be helpful to analyze concurrent streptococcal infection in patients with a severe clinical course. PMID: 30404429 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 9, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Particulate matter and childhood allergic diseases.
Authors: Yang SI Abstract Particulate matter (PM) is a ubiquitous air pollutant that is a growing public health concern. Previous studies have suggested that PM is associated with asthma development and exacerbation of asthma symptoms. Although several studies have suggested increased risks of atopic dermatitis, allergic rhinitis, and allergic sensitization in relation to PM exposure, the evidence remains inconsistent. The plausible mechanisms underlying these effects are related to oxidative stress, enhancement of sensitization to allergens, inflammatory and immunological responses, and epigenetics. This ...
Source: Korean Journal of Pediatrics - November 9, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Drug eruption by antihistamine mistaken for chronic urticaria in a child.
Authors: Lee GM, Chu SY, Kang SY, Kim HB, Park JS, Kim JK Abstract Although rare, antihistamines can casue adverse effects, including drug-induced eruptions or anaphylaxis. A 4-year-old child visited the pediatric department of a hospital for skin eruptions after administration of antihistamines, (e.g., ucerax® (hydroxyzine) or leptizine® (levocetirizine), for cholinergic rashes; he did not have pruritus. Skin prick, intradermal, and drug provocation tests were performed to determine the relationship between the antihistamines and eruptions. Levocetirizine induced wheals in the skin prick test and a rash...
Source: Korean Journal of Pediatrics - November 2, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Reninoma: a rare cause of curable hypertension.
We report a case of reninoma in a female adolescent with a typical clinical presentation, in whom surgical removal of the tumor completely cured hypertension. We have discussed the clinical features, imaging studies, and immunohistochemical examination of the tumor that established the diagnosis, as well as the management of this condition. PMID: 30376707 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - November 2, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

The improvement of right ventricular function after adenotonsillectomy In children with obstructive sleep apnea.
Conclusion: RVMPI using TDE could be an early parameter of RV function in children with OSA due to ATH. PMID: 30360034 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Iron status in small for gestational age and appropriate for gestational age infants at birth.
Conclusion: SGA infants have lower ferritin and total body iron stores compared with AGA infants. SGA infants affected by maternal hypertension who are born at late preterm have an additional risk for an inadequate iron store. Iron deficiency should be monitored in these infants during follow-up. PMID: 30360035 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Changes of Bax, Bcl-2, chemokine receptor-2, monocyte chemoattractant protein-1, and transforming growth factor β1 genes in the left ventricle of spontaneously hypertensive rat after losartan treatment.
Conclusion: After losartan treatment Bax, CCR-2, MCP-1,TGF-β1, PERK, connexin 43 protein and kallikrein mRNA gene expressions were reduced in SHR. Losartan decreased inflammation and apoptosis. PMID: 30360036 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Association between vitamin D level at birth and respiratory morbidities in very-low-birth-weight infants.
Conclusion: The results show that 79.8% of preterm infants in this study had vitamin D deficiency at birth. Low vitamin D status was associated with respiratory morbidities, but the exact cause is unknown. Additional studies on the association between vitamin D level and neonatal morbidities are required. PMID: 30360037 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

The Change of QRS duration after Pulmonary Valve Replacement in Patients with Repaired Tetralogy of Fallot and Pulmonary Regurgitation.
Conclusions: CTR and QRS duration tend to reduce after PVR. However, the absence of a reduction in QRS duration < 180 ms after PVR may be occurred, especially in patients with RVOT hypokinesis. These may provide additional clinical information reflecting changes in RV volume and/or pressure. PMID: 30360038 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research

Clinical and molecular characterization of Korean children with infantile and late-onset Pompe disease: 10 years of experience with enzyme replacement therapy at a single center.
Conclusion: Early identification of PD is very important, as ERT is effective for treatment. Patients with IOPD should be considered as candidates for clinical trials of new drugs in the future, as this study indicates the effectiveness of ERT in IOPD. PMID: 30360039 [PubMed - as supplied by publisher] (Source: Korean Journal of Pediatrics)
Source: Korean Journal of Pediatrics - October 26, 2018 Category: Pediatrics Tags: Korean J Pediatr Source Type: research