Prevalence and allergens of allergic rhinitis in children and adolescents in Gwangju

PURPOSE: Allergic rhinitis (AR) is one of the most common childhood diseases in Korea. In this study, we aimed to investigate the prevalence and allergens of childhood AR in Gwangju. METHODS: From April 2013 to September 2013 in Gwangju, skin prick test and questionnaire survey were performed targeting 2,330 children in total (350 kindergartners, 930 elementary school students, 589 middle school students, and 461 high school students). RESULTS: The overall prevalence of AR was 23.5% (female 21.3%, male 26.1%). According to age groups, prevalence of AR was 14.9% (female 10.7%, male 19.8%) in kindergartners, 24.5% (female 18.8%, male 29.4%) in elementary school students, 23.3% (female 18.1%, male 27.6%) in middle school students, 26.2% (female 27.7%, male 23.2%) in high school students. The most common allergen was Dermatophagoides pteronyssinus (79.7%), followed by Dermatophagoides farina (72.2%), birch (14.0%), alder (12.0%), Japanese hop (9.2%), Alternaria (8.9%), cat fur (7.2%), Japanese cedar (6.9%), ryegrass (6.6%), willow (6.0%), pine (5.4%), oak (4.9%), mugwort (4.3%), orchard grass (4.0%), sheep fescue (3.7%), fat hen (3.4%), ragweed (3.4%), and maple (3.4%). CONCLUSION: This research figures out the prevalence and the detailed allergens of AR in Gwangju children. We suggest that more vegetation data of Japanese cedar should be surveyed in recent future.

Traditional Oriental Medicine and Integrative Medicine / 한양의대학술지

Theory of Traditional Oriental Medicine (TOM) is based on 'Yin-yang' and the 'Five elements' which are ancient chinese ideology for comprehending universe. TOM is also a kinds of ideological medicine, that contains confucian ideas, Buddhism, Taoism as progression of history and cultural trend. Ideological TOM explains physiologic and pathologic condition by 'Maintaining and Disruption of Balance' like Hippocrates, Galen, Ayurvedic medicine. The holy principle of comprehending TOM can be expressed as "To practice medicine based on ideological intuition". In western society original western ideological medicine was died out in the course of scientific revolution. But ancient and medieval oriental medicine is still in existence as a strong medical power in Korea. Recently, with the trend of academic integration, there was an attempt to find affirmative components of TOM. However, the theory of TOM is so different from any criteria for modern knowledge of science and seems to be incommensurable with modern evidence based medicine. As we know, science is the knowledge that could progress cumulatively unswayed by paradigm. To integrate TOM and modern scientific medicine, first of all, the theory of TOM must be made as a precise knowledge through strict ontological and epistemological study. The precise knowledge met clear study requirements will be integrated spontaneously, and Only that has the right to join competition for developing practical technical development. In this knowledge society, the survival and integration of TOM will not only achieved by ideological slogan but also emotional sympathy anymore.

A Case of Langerhans Cell Histiocytosis Preceding with Central Diabetes Insipidus / 대한소아내분비학회지

A 3-year-old girl presented with polydipsia and polyuria for last 2 years. Her fluid intake was 7~8 L/day, and urinalysis showed low osmolality and specific gravity. Central diabetes insipidus (DI) was diagnosed by a water deprivation test. Intranasal 1-desamino-8-D-arginine vasopressin relieved her symptoms and normalized urinary concentrations. A T1-weighted MRI scan revealed a symmetrical thickening of the central part of the pituitary stalk. Six months after the diagnosis of central DI, she developed papular skin lesions on her forehead. The lesions were surgically removed, and histologically classified as Langerhans cell histiocytosis (LCH). We concluded that thickening of the central part of the pituitary stalk might represent the first manifestation of LCH clinically presenting with central DI. In children with central DI, special attention should be paid to the appearance of the pituitary stalk using MRI for the various manifestations of LCH in the central nervous system.

A Case of Acute Poststreptococcal Glomerulonephritis Accompanied with Acute Pyelonephritis

Acute poststreptococcal glomerulonephritis(APSGN) is the most common form of postinfectious glomerulonephritis, and acute pyelonephritis(APN) is the most severe form of urinary tract infection in childhood. However, the concurrence of two diseases is uncommon in the literature. We describe a case of APSGN accompanied with APN in a 5-year-old female who presented with fever, left flank pain, headache and facial edema. Urinalysis showed pyuria, microscopic hematuria, and mild proteinuira. Serial urine cultures grew Escherichia coli. (99m)Tc-DMSA renal scan revealed a cortical defect in the upper pole of left kidney. She had a history of preceding pharyngitis, in addition, showed high blood pressure, high anti-streptolysin O titer, and low serum complement levels. The patient improved completely with supportive treatment, including antibiotic and antihypertensive therapy. These findings suggested that APSGN and APN could be manifested simultaneously or be superimposed on each other.

A Clinico-Epidemilological Study of 55 Cases of Chidhood Idiopathic Thrombocytopenic Purpura

No abstract available.

A Case of Fatal Intracranial Hemmrhage due to Vitamin K Deficiency

No abstract available.

Clinical Observation on Acute Rheumatic Fever in Children

No abstract available.

A Case of Craniofacial Dysostosis(Crouzon's Disease)

No abstract available.