신생아와 조기 영아기에 혈변을 보였던 환아의 추적 관찰 (A Follow-Up Study of Hematochezia in Neonates and During Early Infancy)

서지정보

· 발행기관 : 대한신생아학회
· 수록지 정보 : Neonatal medicine / 15권 / 1호 / 75 ~ 79페이지
· 저자명 : 배수남, 윤정민, 천은정, 고경옥, 이영혁, 목우균, 임재우

초록

Purpose : There are many causes of hematochezia in neonates and during early infancy.
Cow`s milk allergy is considered to be the most common cause of bloody stools in infants;
however, cow`s milk allergy is diagnosed in relatively few patients. In a significant proportion
of case investigations, the etiology of hematochezia is not determined. The objectives
of this study were to evaluate the clinical course and prognosis of patients with
hematochezia of unknown etiology.
Methods : The patients were <4-month-old infants with hematochezia in whom infectious
and surgical etiologies had been excluded. We investigate retrospectively the
clinical course and laboratory finding. We also perform 2-years follow-up study and evaluate
prognosis of the patients.
Results : In all study patients, RAST milk was negative. All patients had self-limited
hematochezia. In 2-years of follow-up, the prognosis of patients was good. There were no
differences at 2-year regarding allergic tendencies of the patients, as determined by the
increase in total eosinophil count.
Conclusion : Hematochezia in neonates and during early infancy is generally a benign
and self-limiting symptom. Based on 2-years of follow-up, the prognosis of the patients is
good.

영어초록

Purpose : There are many causes of hematochezia in neonates and during early infancy.
Cow`s milk allergy is considered to be the most common cause of bloody stools in infants;
however, cow`s milk allergy is diagnosed in relatively few patients. In a significant proportion
of case investigations, the etiology of hematochezia is not determined. The objectives
of this study were to evaluate the clinical course and prognosis of patients with
hematochezia of unknown etiology.
Methods : The patients were <4-month-old infants with hematochezia in whom infectious
and surgical etiologies had been excluded. We investigate retrospectively the
clinical course and laboratory finding. We also perform 2-years follow-up study and evaluate
prognosis of the patients.
Results : In all study patients, RAST milk was negative. All patients had self-limited
hematochezia. In 2-years of follow-up, the prognosis of patients was good. There were no
differences at 2-year regarding allergic tendencies of the patients, as determined by the
increase in total eosinophil count.
Conclusion : Hematochezia in neonates and during early infancy is generally a benign
and self-limiting symptom. Based on 2-years of follow-up, the prognosis of the patients is
good.

참고자료

· 없음