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재발성 기침과 천명을 가진 소아환아의 알레르기 검사에 대한 고찰
이석규(Suk Kyeu Lee),이기창(Ki Chang Lee),박찬정(Chan Jung Park),조현정(Hyeon Jung Cho),김광우(Kwang Woo Kim) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1995 소아알레르기 및 호흡기학회지 Vol.5 No.2
N/A Asthmatic bronchitis and asthma are very common allergic diseases in the pediatric age group. These are lower respiratory disease which shows cough, wheeze and shortness of breath. Various rales and wheezing can be heard in asthma and asthmatic bronchitis if superimposed with pneumonia. It is often difficult to diagnosis clearly. So, we intended to know the allergic characteristics in these disease (asthma, asthmatic bronchitis, pneumonia) together. Eight hundred ninety eight cases (male; 587, female; 311) were taken allergic skin tests, peripheral eosinophil counts, serum total IgE, specific IgE and symptom scores who were admitted or visited outpatient clinic. 1) In the allergic skin tests, Dermatophagoides pteronyssinus (Dp) shows 39.2% over 2 positive and 4 positive reactivity was 42.3% in positive group, Dp reactions shows more sensitive than Df reactions. The skin reaction on egg was greater than milk but only about one percent in all cases. 2) Total IgE was shown no correlation with age, sex, PB eosinophil count, wheal and erythema on allergic skin test. 3) Total IgE and specific IgE for Dp, Df made gradual increment in percentage in according to going to upper class of IgE. 4) The Class 2 and Class 3 of total IgE appeared three-forth in all patients (class 2: low to moderate, class 3: high). Also, the rates were increased with age increment. In conclusion, total IgE and specific IgE (especially in Dp, Df) are more specific diagnostic tools in early age group compare to adult and old children who have asthma, pneumonia and other lower respiratory diseases.
저혈압을 동반한 Mycoplasma Pneumoniae 폐렴 1 례
김광우(Kwang Woo Kim),이우기(Woo Ki Lee),장혜성(Hyui Sung Chang),이석규(Suk Kyeu Lee),이기창(Ki Chang Lee),박찬정(Chan Jung Park) 대한소아알레르기호흡기학회 1994 소아알레르기 및 호흡기학회지 Vol.4 No.1
Mycoplasma pneumoniae infections have various clinical expressions. The pneumonia is most common disease caused by this organism. But extrapulmonary manifestations such as neurologic, hematologic, dermatologic, renal, musculoskeletal, cardiovascular, gastrointestinal, immunologic manifestations can occur frequently, We experienced a fourteen years girl who has pneumonia caused by Mycoplasma pneumoniae with severe hypotension during first 5 days of admission period. The hypotension became normalized gradually by dopamine continous infusion and antibiotics, ceftriaxone. But pulmonary infiltration improved after using erythromycin.