A Kimura, F Endo, S Kagimoto, T Inoue, M Suzuki, T Kurosawa, M Tohma, T Fujisawa, H Kato
{"title":"Tyrosinemia type I-like disease: a possible manifestation of 3-oxo-delta 4-steroid 5 beta-reductase deficiency.","authors":"A Kimura, F Endo, S Kagimoto, T Inoue, M Suzuki, T Kurosawa, M Tohma, T Fujisawa, H Kato","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>It has been suggested that quantitative analysis of urinary bile acids may help to distinguish primary 3-oxo-delta 4-steroid 5 beta-reductase deficiency from the excretion of 3-oxo-delta 4 bile acids that occurs as a result of liver damage.</p><p><strong>Methods: </strong>Urinary bile acids were quantitatively analyzed by gas chromatography-mass spectrometry in four Japanese patients with severe neonatal cholestasis associated with hypertyrosinemia without urinary succinylacetone (i.e. tyrosinemia type I-like disease). These four patients represented sporadic cases.</p><p><strong>Results: </strong>Large amounts of 3-oxo-delta 4 bile acids were detected, which comprised greater than 80% of the total urinary bile acids. Small amounts of allo-bile acids and primary bile acids were also detected, comprising less than 1% and 15% of the total urinary bile acids, respectively.</p><p><strong>Conclusions: </strong>It was suspected that these four patients had a primary 3-oxo-delta 4-steroid 5 beta-reductase deficiency. However, it is possible that some patients in this study may have had a secondary 3-oxo-delta 4-steroid 5 beta-reductase deficiency, caused by idiopathic neonatal cholestatic liver failure.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"211-7"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20610889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y Sawaji, N Haneda, S Yamaguchi, Y Kajino, K Kishida, S Seto, N Konishi, K Waki, K Baba, K Arisawa, T Kamiya, C Mori
{"title":"Coronary risk factors in acute Kawasaki disease: correlation of serum immunoglobulin levels with coronary complications.","authors":"Y Sawaji, N Haneda, S Yamaguchi, Y Kajino, K Kishida, S Seto, N Konishi, K Waki, K Baba, K Arisawa, T Kamiya, C Mori","doi":"10.1111/j.1442-200x.1998.tb01915.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01915.x","url":null,"abstract":"<p><strong>Background: </strong>To determine the usefulness of the IgG z-score (age and sex-standardized serum IgG level) before intravenous gamma globulin therapy (IVGG) in predicting the occurrence or severity of coronary complications in Kawasaki disease (KD).</p><p><strong>Methods: </strong>A case-control study of clinical and laboratory findings with 88 children in the early stage of acute KD who received IVGG (100 or 200 mg/kg for 2-5 days) therapy. Of these, 20 cases had persistent coronary arterial lesions (small aneurysm, moderate aneurysm or large aneurysm persisting more than 1 month). The controls comprised 68 children with no coronary aneurysms or transient small aneurysm only observed within 1 month after the onset of KD. The association between serum levels of immunoglobulin G (IgG). IgM, IgA as well as other coronary risk factors previously reported and the occurrence of the coronary arterial lesions was evaluated using logistic regression analysis.</p><p><strong>Results: </strong>After adjustment for age, gender, total IVGG dose before the 9th illness day and other traditional coronary risk factors, the odds ratio for the persistent coronary aneurysm associated with lower serum IgG z-score (< -0.7485 vs > or = -0.7485), was 30.3 (95% confidence interval, 3.8-243.2). Furthermore, the serum IgG z-score was inversely correlated with the severity of the coronary arterial lesion.</p><p><strong>Conclusions: </strong>The IgG z-score before IVGG therapy in the early stage of KD provides useful information on the risk factors for persistent coronary aneurysm and is a novel, additional indicator for therapy to prevent the coronary complications in acute KD.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"218-25"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01915.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20610890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transient hypocalcemia with elevated serum parathormone in an infant of a hyperparathyroid mother.","authors":"E A Ismail, N al-Shammari, H Nadi","doi":"10.1111/j.1442-200x.1998.tb01931.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01931.x","url":null,"abstract":"<p><p>An infant presented at the age of 80 days with a hypocalcemic fit. The mother was found to have asymptomatic parathyroid adenoma. The infant's intact parathyroid hormone was high in the absence of hypomagnesemia, renal failure or overt rickets, which are known causes of secondary end-organ refractoriness. The patient was treated with calcium and 1-alpha-hydroxyvitamin D for only 2 weeks, but has remained asymptomatic and normocalcemic on follow-up to--the age of 2 years. It is believed that this has not been previously described and it is speculated that end-organ refractoriness, though brief, can account for all the symptoms.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"290-2"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01931.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Asano, T Nachi, K Maruyama, T Morita, M Murakami, M Yamamoto
{"title":"Changes in the duration of the urinary abnormality of purpura nephritis over the past 5 years.","authors":"T Asano, T Nachi, K Maruyama, T Morita, M Murakami, M Yamamoto","doi":"10.1111/j.1442-200x.1998.tb01918.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01918.x","url":null,"abstract":"<p><strong>Background: </strong>The clinical features of patients with anaphylactoid purpura who were admitted to the National Tosei Hospital over the past 15 years were investigated to confirm whether the prognosis of renal involvement had improved.</p><p><strong>Results: </strong>Of the 107 patients admitted to hospital, 43 (40.2%) had urinary abnormalities. The patients with renal involvement were older (P < 0.05) compared to patients without nephritis. Over the last 5 years (1991-95), the duration of urinary abnormalities was significantly shorter than in the period from 1981 to 1990 (P < 0.05).</p><p><strong>Conclusions: </strong>The duration of the urinary abnormality of nephritis complicating anaphylactoid purpura appears to be changing.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"236-8"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01918.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Seasonal benzathine penicillin G prophylaxis for recurrent streptococcal pharyngitis in children.","authors":"S Akşit, S Caglayan, G Dokucu","doi":"10.1111/j.1442-200x.1998.tb01923.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01923.x","url":null,"abstract":"Abstract Background. To assess the efficacy of benzathine penicillin G (BPG) prophylaxis in recurrent streptococcal pharyngitis in children.","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"256-8"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01923.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful pregnancy after coronary artery bypass grafting for Kawasaki disease.","authors":"H Hayakawa, T Katoh","doi":"10.1111/j.1442-200x.1998.tb01927.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01927.x","url":null,"abstract":"<p><p>A 13-year-old girl with a history of Kawasaki disease underwent coronary artery bypass grafting because of angina pectoris due to a giant coronary artery aneurysm on the left main trunk artery. Nine years after the operation, the patient had an uneventful pregnancy followed by a normal vaginal delivery. This is the first case of a successful pregnancy after coronary artery bypass grafting for Kawasaki coronary artery disease.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"275-7"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01927.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Fujieda, M Nagata, Y Akioka, M Hattori, H Kawaguchi, K Ito
{"title":"Antineutrophil cytoplasmic antibody-positive crescentic glomerulonephritis associated with propylthiouracil therapy.","authors":"M Fujieda, M Nagata, Y Akioka, M Hattori, H Kawaguchi, K Ito","doi":"10.1111/j.1442-200x.1998.tb01930.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01930.x","url":null,"abstract":"<p><p>A teenage girl with crescentic glomerulonephritis had antineutrophil cytoplasmic antibody (ANCA) detected after she had received propylthiouracil (PTU) for hyperthyroidism without cutaneous vasculitis. ANCA was detected on admission; renal biopsy showed crescentic glomerulonephritis with focal necrotizing glomerulonephritis but no immune deposits. Administration of steroid and decreasing the dose of PTU produced a good clinical response and the ANCA disappeared. It was concluded that ANCA is closely related to the pathogenesis of crescentic glomerulonephritis and that treatment with PTU appeared to induce ANCA.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"286-9"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01930.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C Kiryu, M Kaneda, T Shiraishi, M Tsuda, I Inana, T Sakiyama, T Fujinaga, A Nishida, K Kakinuma
{"title":"Spectrophotometric determination of neutrophil cytochrome b558 of chronic granulomatous disease.","authors":"C Kiryu, M Kaneda, T Shiraishi, M Tsuda, I Inana, T Sakiyama, T Fujinaga, A Nishida, K Kakinuma","doi":"10.1111/j.1442-200x.1998.tb01913.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01913.x","url":null,"abstract":"<p><strong>Background: </strong>Chronic granulomatous disease (CGD) is an inherited disease characterized clinically by severe recurrent bacterial infections from infancy. This disease is a disorder of the formation of superoxide (O2-) by the neutrophil NADPH oxidase system, mostly due to defects in cytochrome b558 (cyt b558), which is one of the oxidase components. Diagnosis of CGD has been performed by the assay of the O2- forming activity, immunological determination of defects in the oxidase components, and or spectrophotometry of cyt b558. However, spectrophotometric analysis of the b-type heme is difficult with small amounts of blood from infant CGD patients, as the limited amounts of neutrophils are contaminated with a relatively high ratio of hemoglobin (Hb) that interferes with the heme spectrum of cyt b558. This report presents an accurate method for the spectrophotometric analysis of cyt b558 in a small amount of CGD neutrophils that were treated with CO gas in a safe procedure instead of the previously reported CO-bubbling method.</p><p><strong>Methods and results: </strong>The difference of the reduced minus oxidized cyt b558 spectrum was measured under no interference from oxy Hb at the alpha and beta bands and differentiated as d[delta A]/d lambda (lambda = wavelength) to obtain further evidence for the defects of the cyt b558 heme spectrum. The interference from CO-insensitive met Hb was eliminated by subtracting the absorption peak at the Soret (gamma) band of the contaminating met Hb, which was estimated from the CO-treated and untreated spectra of the same, hemolyzed sample.</p><p><strong>Conclusions: </strong>This spectrophotometric method is feasible for the determination of abnormality and heme content of cyt b558 with a small amount of CGD neutrophils in 10-20 mL of blood even in the presence of contaminating Hb.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"204-10"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01913.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20610888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y Jin, A Endo, M Shimada, M Minato, M Takada, S Takahashi, K Harada, S Hayakawa, K Sato
{"title":"Using polymerase chain reaction for rapid sex-determination of a case of sirenomelia.","authors":"Y Jin, A Endo, M Shimada, M Minato, M Takada, S Takahashi, K Harada, S Hayakawa, K Sato","doi":"10.1111/j.1442-200x.1998.tb01929.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01929.x","url":null,"abstract":"<p><p>A rare case of sirenomelia with its autopsy findings is reported. The 1188 g infant was delivered by cesarean section at the 36th week of gestation, and died at 4 h of life. Physical and pathologic findings included sirenomelia (a single lower extremity mass), lung hypoplasia, bilateral renal agenesis, blind-ending colon, severe deformity of the bony pelvis, an imperforate anus, absence of the bladder, and a single umbilical artery. Because of the difficulty in determining the sex of the infant, PCR directed against the SRY gene was performed. The PCR-based sex determination is a rapid technique in patients with ambiguous genitalia.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"282-5"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01929.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Fujimoto, H Togari, S Takashima, M Funato, H Yoshioka, S Ibara, M Tatsuno
{"title":"National survey of periventricular leukomalacia in Japan.","authors":"S Fujimoto, H Togari, S Takashima, M Funato, H Yoshioka, S Ibara, M Tatsuno","doi":"10.1111/j.1442-200x.1998.tb01919.x","DOIUrl":"https://doi.org/10.1111/j.1442-200x.1998.tb01919.x","url":null,"abstract":"<p><strong>Background: </strong>Clarification of the present status of periventricular leukomalacia (PVL) in Japan.</p><p><strong>Methods: </strong>Questionnaires were mailed to the leading neonatal intensive care units (NICU) and rehabilitation centers for children.</p><p><strong>Results: </strong>The incidence of PVL in the group of surviving preterm infants of gestational ages less than 33 weeks was 4.8-4.9% on ultrasound and 7.7-7.9% on magnetic resonance imaging and/or computed tomography. The incidence of PVL did not decrease between 1990 and 1994. The incidence of PVL in the NICU varied from 0 to 47.1%. Infants from multiple pregnancies had a higher incidence (9.1%) of PVL than those from single pregnancies (6.2%). The proportion of PVL in all patients in rehabilitation centers with cerebral palsy (CP) has increased recently.</p><p><strong>Conclusions: </strong>It was roughly calculated that about 750 cases of CP with PVL occurred annually in Japan, thus accounting for about one-third of the total number of cases of CP.</p>","PeriodicalId":76975,"journal":{"name":"Acta paediatrica Japonica : Overseas edition","volume":"40 3","pages":"239-43"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1442-200x.1998.tb01919.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20611424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}