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만성 신부전을 초래한 Hinman 증후군 1례
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  • 만성 신부전을 초래한 Hinman 증후군 1례
  • A Case of Hinman Syndrome Complicated by Chronic Renal Failure
저자명
이경훈,이은실,박용훈,Lee. Gyeong-Hoon,Lee. Eun-Sil,Park. Yong-Hoon
간행물명
대한소아신장학회지
권/호정보
1998년|2권 1호|pp.90-94 (5 pages)
발행정보
대한소아신장학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Hinman syndrome is a condition representing urinary voiding dysfunction in the neurologically intact child. The syndrome is probably caused by acquired behavioral and psychosocial disorders manifested by bladder and/or bowel dysfunction mimicking neurologic disease. Clinically, the symptom complex may include day and night time enuresis, encopresis, constipation, and recurrent urinary tract infections. Cystoscopy frequently demonstrates normal vesicourethral anatomy. Voiding films usually demonstarate a carrot-shaped proximal urethra with a persistent narrowing at the external sphincter. The bladder is large and often appears trabeculated with a thickened wall and significant postvoid residual. A 13-year-old male child was admitted due to fever, urinary tract infection, enuresis and flank pain. His neurologic examination was normal. Renal sonograms showed moderate hydronephrosis. Voiding cystourethrograms showed a huge, trabeculated bladder without vesicourethral reflux and urethral valves. No abnormal findings was found in spinal MRI.