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서우철,김상우 인제대학교 1988 仁濟醫學 Vol.9 No.3
1987년 3월부터 통만 12월 말까시 본원을 방문한 소아 중 BCG 접종을 받은 반흔이 있는 181예를 대상으로 결핵 반응검사를 실시하여 연령 증가에 따른 결핵 반응검사의 음전도를 조사하였으며, 음전된 71예를 대상으로 BCG 재접종을 실시하여 BCG 접종 부위의 변화가 초회 접종자와 차이가 있는가를 살펴 보았다. 또한 BCG 초회 접종자와 재접종자에게 BCG 접종 후 12주째에 결핵 반응검사를 시행하여 그 결과를 비교하여 보았다. Mantoux test was performed on 181 children with BCG scar from March, 1987 to December, 1987. BCG revaccination was done to 71 children who showed negative reaction to Mantoux test. The results were compared with 43 children having primary BCG-vaccination. The results were as follows : 1) 31.5% of 181 children with BCG scar showed negative reaction on Mantoux test. Children over 1 year of age skewed more negative rate of Mantoux reaction, ie, 15.0% of the under 1 year of age vs 51.3% of the over 1 year of age. 2) 11.2% of 71 children with BCG-revaccination and 9.3% of 43 children with primary BCG-vaccination showed negative reaction on Mantoux test done at 12 weeks after vaccination. 3) There noted no significant difference in local reaction of BCG site observed 2 weeks interval after vaccination between groups of the primary vaccinated and the revaccinated. 93.5% of the primary vaccinated and 86.2% of the revaccinated showed crust or scar formation on BCG site 12 weeks after BCG-vaccination. 4) The results of Mantoux test were observed 12 weeks after BCG-vaccination in the primary vaccinated and the revaccinated. Equivocal reaction was more frequent in the group of primary vaccination than in the group of revaccination, ie ; 55.8% vs 28.2%. Positive reaction was more frequent in the group of revaccination, 60.6% vs 34.9%.
서우철,박영일,김상우 인제대학교 1988 仁濟醫學 Vol.9 No.2
Patent urachus is a uncommon disease and it has a good prognosis if there is no combine major anomally or evidence of malignancy. Patent urachus occurs when there is a primary failure of luminal closure of the urachus, so a communication between the urachus and both the bladder and the umbilicus exists. Diagnostic conformation was made by voiding cystourethrogram and it was surgically removed successfully. We present a case of patent urachus in a newborn male baby with the leakage of urine froze the umbilicus. A brief review of related literatures is also presented.
남매에서 발생한 심한 용혈성 빈혈과 간경변증을 동반한 Wilson 병 2례
노영일,박동호,서우철,문경래,박상기,박영봉,이미숙,전호종 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1
We experienced two case of Wilson's disease in female and male sibling. The first case was a 10 year-old female who showed jaundice. pancytopenia and cirrhotic change in liver biopsy. She died 10 days after diagnosis. The second case of 7 year-old male showed specific symptoms and revealed increased AST/ALT, low serun copper level and increased 24 hour urinary copper excretion level He is being treated with D-penicillamine and follow up examinations.
김대균,이홍준,서우철,박상기,박영봉,기근홍 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2
Incontinentia pigmenti is a genetic disease of the skin with generalized ectodermal and mesodermal dysplasia. Skin lesions are usually present at birth or shortly after birth in the form of erythematous eruptions with linear vesiculations. The final stage is characterised by irregular macular streaks of brown to grey pigmentation. We experienced a case of incontinentia pigmenti associated with seizure. ocular lesions on both eyes and small ASD in male neonate. A brief review of related literature is also presented.
Human Rotavirus 위장관염에 대한 임상적 고찰
배현,이홍준,서우철,양은석,문경래,박영봉 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2
We observed clinical features of 161 patients of acute gastroenteritis who were adimitted to the Department of Pediatrics in the Chosun University Hospital from January 1. 1989 to December 31. 1993. The stool specimen on admission was tested for rotavirus Ag by ELISA(Rotazyme Ⅱ^R)method. The results are as follows : 1) HRV antigen was detected in 97 patients (58.4%) among 161 patients with gastroenteritis. 2) In monthly distribution. 77.7% of cases developed between October and December 3) The majority if patients were under 24month of age with the peak incidnce being between 6-12 month of age. 4) Mean frequency of diarrhea per day were 5.3±2.6 days in HRV antigen rhinorrhea(48.5%), cough(44.7%). Dehydration was noted 87.2% of cases and 93.9% Was isotonic dehydration. 6) The mean duration of hospitalization was 5.3±2.6 days. 7) AST and AIT elevation in HRV group were 91.5%, 42.6% respectively. AST and ALT elevation in Non-HRV group were 73.1%, 26.9% respectively. AST elevation between two group was not correlated statistically. but ALT concentration was significantly increased in HRV group above normal than Non-HRV group (p<0.05%).