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Journal of the Korean Society of Pediatric Nephrology 2003;7(2): 211-216.
용혈성 요독 증후군에서 발생한 췌장염 2례
박지민, 김기성, 남영미, 김은수, 안선영, 신재일, 이재승
1연세대학교 의과대학 소아과학교실, 신장질환연구소
2연세대학교 의과대학 소아과학교실, 신장질환연구소
3연세대학교 의과대학 소아과학교실, 신장질환연구소
4연세대학교 의과대학 소아과학교실, 신장질환연구소
5연세대학교 의과대학 소아과학교실, 신장질환연구소
6연세대학교 의과대학 소아과학교실, 신장질환연구소
7연세대학교 의과대학 소아과학교실, 신장질환연구소
Two Cases of Pancreatitis in Children with Hemolytic Uremic Syndrome
Jee-Min Park, Ki-Sung Kim, Young-Mi Nam, Eun-Soo Kim, Sun-Young Ahn, Jae-Il Shin, Jae-Seung Lee
1Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
2Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
3Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
4Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
5Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
6Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
7Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
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ABSTRACT
An epidemic outbreak of food poisoning due to enterohemorrhagic Escherichia coli(EHEC) occurred throughout Korea from May to September, 2003. Patients infected via contaminated school lunch foods were found mainly in Seoul and Gyeonggi province. As a result of this food poisoning, 36 patients were diagnosed as hemolytic uremic syndrome(HUS) up to mid-September, 2003 and five of them visited our hospital. Before the outbreak this year, we had experienced only 23 cases of HUS, including diarrhea associated (D+) and atypical (D-) forms, for the last 14 years, and there had been no case with pancreatic enzyme elevation. Unlike the past HUS cases, those of this year presented with severe abdominal pain and spiking elevation of pancreatic enzyme levels in 2 cases. We report 2 cases of transient pancreatitis combined with HUS in children during the epidemic outbreak in 2003 with a brief review of related literatures.
Key words: Epidemic outbreak | Hemolytic uremic syndrome | Pancreatitis
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