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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 7 Documents
Search results for , issue "Vol 39 No 7-8 (1999): July 1999" : 7 Documents clear
MAFFUCCI SYNDROME Karyomanggolo, Widhodho T.; Kusumowardhani, Dyani
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.479 KB) | DOI: 10.14238/pi39.7-8.1999.237-41

Abstract

A case of Maffucci syndrome was found in a 6 year old Indonesian girl.Her first sign of bone malformation was noticed on her right arm at the age of 7 months, but since there were no other complaint, such as pain or dysfunction, no further investigation was done. The complaints that brought her to Cipto Mangunkusumo Hospital, Jakarta, were an incomplete cleft palate and right axillary masses which were then known as cavernous hemangiomas. On physical examination another hemangioma was found on the major labia fold. From bone survey, generalized enchondromatosis was recognized and bone biopsy was then scheduled, bu t when the incision was done another hemangioma was found, so biopsy wascanceled due to risk of bleedings. Magnetic resonance imaging of the right humerus reaflirmed that the mass inside the bone was enchondroma and the masses in the axilla were subcutaneous hemangioma. Radiologic bone examination done 2 years later revealed that the enchondromatosis had increased in size and spreading. IQ test s howed a borderline stage of intelligence, but there were no evidence of relationship with the disease.
CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG (CCAM): REPORT OF 2 ATYPICAL CASES Nataprawira, Melinda D.; Kartasasmita, Cissy B.; Rosmayudi, 0ma; H., Abdulgani; R., Soebarna; Wahyu, Tri; Silitonga, L.; Hernowo, B.
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (697.791 KB) | DOI: 10.14238/pi39.7-8.1999.229-36

Abstract

Congeni~ cystic adenomatoid malformation (CCAM) presents mainly inneonates, rarely in children beyond infancy, and has been reported in adults. Two females (aged 26 months and 34 days) who had CCAM in the right and left lower lobe, respectively, are reported. One of them presented with recurrent respiratory infection and the other as newbom with respiratory distress secondary to mediastinal displacement and pulmonary compression as a result of expanding cystic lesions. Both cases had different lesions from typical neonatal cases reported in the literature.Single cyst was shown in the first case, but multiple cysts in other. The young child survived, but the baby died. All lesions had lining varied from pseudostratified columnar to cuboidal epithelium. Cartilage plates was found in the second case but not in the first. The absence of inflammation is typical in neonates' lesions, by contrast, all of our two patients had clinical and pathologic evidence of chronic inflammation. CCAM may be clinically silent in infancy and may present as pneumonia associated with cystic lesion on chest X-ray in childhood or la ter in life. To support the diagnosis, CT scanning is needed.
TUBERCULINE TEST IN INFANTS AND CHILDREN WHO HAVE CONTACT TO SPUTUM POSITIVE ADULT PULMONARY TUBERCULOSIS PATIENTS Akbar, Khainir; Daulay, Ridwan M.; Lubis, Helmi; Siregar, Zakaria; Panggabean, Gabriel; Nuraida, Nuraida
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (709.911 KB) | DOI: 10.14238/pi39.7-8.1999.221-8

Abstract

This study aimed to determine the pattern of pulmonary tuberculosisinfection in infants and children who had household contact to adtult tuberculosis patients with sputum positive for acid-fast bacilli (AFB). Tuberculine (Mantoux) test was performed in 270 such infants or children. The results showed that tuberculine test positivity in household contact group of adult tuberculosis patients with positive AFB sputum were significantly different from patients with negative AFB sputum for the age groups 0-18, 0-14, 0-4, 5-9, 10-14 years but not for 15-18 age group. There were no significant difference in positivity of tuberculine test result according to gender or BCG vaccination status, but there was significant difference between children who slept in the same bed room with the source case and those who did not. Semi-quantitative bacteriological status of the sputum (AFB +, or++ or+++) did not affect positivity of tuberculine test result. We conclude that infants and children with household contact to sputum positive adult pulmonary tubercula is patients are at high risk for developing tuberculosis infection particularly those who sleep in the samebed room with the source case.
TRANSFER OF DIETARY ALLERGEN IN HUMAN MILK Harsono, Aryono; Endaryanto, Anang
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1116.312 KB) | DOI: 10.14238/pi39.7-8.1999.181-92

Abstract

The presence of dietary allergens in breast milk have been studied eitherin animal model or human milk. Transfer of these allergens to the infants have been proven qualitatively and quantitatively. Maternal dietary allergen transfer can also be detected by the presence of antibody response in the infants. The relationship of maternal dietary allergens and sensitisation to the infants can be observed in prolonged breastfed infants. The benefit of maternal dietary avoidance may be found either early from the beginning of pregnancy or in the lactation period. Factors predicting the onset of atopic disease are the nature of dietary protein in breast milk, lgA in breast milk, family history of atopy, allergen exposure, cord blood IgE and contributory factors. Evaluation of infants with sensitivity to dietary allergen in breast milk mainly is DBPCFC. Preventive measure is still avoidance of maternal dietary  allergen. The mainstay of treatment is avoidance of the offending foods obtained from food challenge.
RENAL TUBULAR FUNCTION OF THE CHILD WITH THALASSEMIA MAJOR WHO RECEIVED REPEATED BLOOD TRRANSFUSION Hilmanto, Dany; Singadipoera, Boed Sinai; Ijradinata, Ponpon
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.391 KB) | DOI: 10.14238/pi39.7-8.1999.193-200

Abstract

A descriptive study was done from December 2 , 1994 to January 5,1995, at the Department of Child Health of Hasan Sadikin General Hospital Bandung. A total of 50 thalassemia major patients who bad received 5,000 ml or more of blood transfusions and never received desfenioxamine underwent a renal tubular function test using a radionuclide technique (l-123 Hippuran) to determine the effective renalplasmft flow (ERPF). The subjects were div:ided into two groups according to the amount of transfusion. Group A who received a total of 5,000 to 10,000 mL of blood transfusion consisted of 23 children (11 boys and 12 girls); group B, those who received a total of 10,000 ml or more of blood transfusion, consisted of 27 children (14 boys and 13 girls). The total average of blood transfused for group A and B were 7563.91 (1780.59) and 20,665.93 (6632.39) rnl, respectively. The ERPF of all subjects were below the normal standard. The average value of ERPF of group A and B were 205.78 (62 .08) and 214.09 (59.44) ml/minute/1.73 m2, respectively. The correlation between the total amount of blood transfusion and ERPF of the subjects was not significant (Group A had r=O.l63, p=0.458; Group B had r=0.084, p=0 .934).
EXPOSURE PATTERN OF HOUSE DUST MITES IN CHILDHOOD ASTHMA ALONG THE YEAR: A SERIES OF 10 CASES Munasir, Zakiudin; Budi, Lenny S.; Sularyo, Titi; Hadinegoro, Sri Rezeki
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (691.456 KB) | DOI: 10.14238/pi39.7-8.1999.201-10

Abstract

House dust mite (HDM) is one of the inhalant allergens causinginflammation of respiratory tract. More than 100 dust mites/ gram house dust may cause sensitization in childhood asthma, while more than >500 house dust mite/gram house dust may cause asthma attack. This report aimed to determine the exposure pattern of house dust mites on 10 asthmatic children during one year. Homevisit to all patients was done every month to obtain house dust sample, measurement of relative humidity, bed room temperature, and to evaluate the clinical scores and peak expiratory flow rate (PEFR). The range value of house dust mite/gram house dust was 0-340. This study shows that house dust mite may cause of acute asthma attack when accompanied by nonspesific stimuli. In September the relative humidity is high, the temperature is low, and the amount of house dust mite/gram of house dust is highest, in contrast to in August and December. This study shows no seasonalvariation. The amount of house dust mite/ gram of house dust was found higher at the mattress than in the floor of bed room. The species of house dust mite that predominantly found is Dermato- phagoides pteronyssinus. We conclude that house dust mite may cause acute asthma attack whenever accompanied by nonspesific stimulus.
PATTERN OF INFECTIOUS DISEASES IN ACUTE LEUKEMIA DURING INDUCTION THERAPY Harun, Sri Rezeki; Latupeirissa, Debbie; Tambunan, Taralan
Paediatrica Indonesiana Vol 39 No 7-8 (1999): July 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (771.382 KB) | DOI: 10.14238/pi39.7-8.1999.211-20

Abstract

An prospective study was conducted to determine risk factors and pattem of infectious diseases in acute leukemia during induction therapy. The study subjects were all new acute leukemia patients of J month to 17 years old diagnosed between August 1, 1997 and July 31, 1998 in the  Department of Child Heallb, Cipto Mangunkusumo Hospital, Jakarta. Subjects were categorized into Group with and without infection. Of the 39 subjects studied (23 boys and 16 girls), 22 subjects were infected (10 boys and 12 girl ). Most of the subjects were 1-4 year-old age group and 14 subjects of that group were infected. lt was found that there were  relationships between incidence of infection with leukocyte count below 5000/µL (p=0.02), neutrophil count below 1x109/L (p=0.01), and evidence of presumptive site of infection (p=0.0005). Children under 5 years old, sex, ANLL type, malnutrition, or neutropenia of more than 2 weeks had no relationships with incidence of infection. Besides fever, pattem of infection diseases in acute leukemia patients during induction therapy, were only 36% and 38% of subjects had clinical manifestations evidence andmicrobiologically documented, respectively. Most of the laboratory findings were leukopenia or neutropenia, while serum aminotransferase was normal in both groups. Serum CRP serum was devated in those with infection. All of the isolated bacteriae were Gram-negative; 52.4% of infected subjects had responded to empirical therapy, and 72.7% of the antibiotics used was sefotaxime.

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