Stenosis of Individual Pulmonary Veins

Pulmonary hypertension may be associated with variable conditions such as the hyperkinetic state or pulmonary vascular obstruction. In these, stenosis of the individual pulmonary veins without any cardiac or vascular malformation is very rare. We experienced stenosis of individual pulmonary veins in a 10 months old boy who was admitted with recurrent dyspnea and cyanosis and then underwent angiogram and a lung perfusion scan.

A Clinical Study of Mumps Menigitis

Seventy four children with mumps meningitis were hospitalized to Pediatric department, Hangyang University Hospital between May, and August, 1977. The clinical illness of these children were studied and the following results were obtained. 1. The incidental ratio to total inpatients was 1%. 2. The seasonal distribution was highest in summer, and the peak incidence in July(28%). 3. The sex incidence was more common in male(M:F=4:1). 4. According to age distribution, Children between 6 to and 8 years of age comprised 45.2% of alll studied cases. 5. The signs and symptoms of mumps meningitis on admission revealed vomiting, fever, neck stiffness, positive Kernig's sign etc. in order. 6. The symptoms and signs of meningitis were present in 5(7%) before salivary gland swelling, in 56(75%) after it, and in 13(18%) simultaneously. 7. Other salivary gland involvement without parotid gland swelling was relatively high in mumps meningitis compared with simple mumps. 8. Fever was normalized within 4th hospital day in 85% of cases. 9. On C.S.F. findings, the cell counts were elevated in all cases, protein was normal or slightly elevated and sugar was normal in all cases. 10. Average hospital days were 4 days. 11. All cases were completely recovered within 7th hospital day except a case of orchitis and a case of pancreatitis.

A Case of Peutz-Zeghers Syndrome

A case of Peutz-Zeghers syndrome in a year and 8 month old girl was Presented. Her chief complaints were abdominal pain, vomiting and melanin pigmemtation on the lips and perioral area. On family history, her mother and elder sister suffered from same symptom. Physical examination showed melanin pigentation on the lips and perioral area, and markedly distended abdomen. Abdominal simple X-ray film showed fluid level, and so diagnosed as small bowel obstruction. Operation performed at 2nd admission day, and those findings were intusussusception of jejunojejunal type and multiple polyps. The diagnosis was confirmed by family history, characterisic pogmentation and multiple small intestinal polyps of jejunum. Brief review of related literatures were also presented.