An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis

Kawasaki disease is the most common vasculitis of childhood. In its classical form, at least four of five diagnostic criteria including cervical lymphadenopathy (1.5 cm or more), nonsuppurative conjunctivitis, intraoral mucosal changes, edema in hands and feet, and maculopapular rash are required wi...

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Main Authors: B. O. Kılıç, Ş. Baysun, T. C. Gökşen, İ. Akınbingöl, Z. Arslan
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/4930234
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author B. O. Kılıç
Ş. Baysun
T. C. Gökşen
İ. Akınbingöl
Z. Arslan
author_facet B. O. Kılıç
Ş. Baysun
T. C. Gökşen
İ. Akınbingöl
Z. Arslan
author_sort B. O. Kılıç
collection DOAJ
description Kawasaki disease is the most common vasculitis of childhood. In its classical form, at least four of five diagnostic criteria including cervical lymphadenopathy (1.5 cm or more), nonsuppurative conjunctivitis, intraoral mucosal changes, edema in hands and feet, and maculopapular rash are required with prolonged fever over 5 days. Atypical cases which are different from the classical type or incomplete cases which does not include all the diagnostic criteria can be seen. The typical Kawasaki disease is a self-limiting disease with fever lasting for an average of two weeks. In such patients who have not been diagnosed and whose treatment has been delayed, coronary artery aneurysm, myocardial depression, arrhythmia, and vascular complications may increase morbidity and mortality. We would like to present a rare case of an atypical patient with gallbladder hydrops and acute cholestatic hepatitis.
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id doaj-art-6be728a36d3645729ccd9c1c21c052b5
institution Kabale University
issn 1687-9627
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-6be728a36d3645729ccd9c1c21c052b52025-02-03T01:10:40ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/49302344930234An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic HepatitisB. O. Kılıç0Ş. Baysun1T. C. Gökşen2İ. Akınbingöl3Z. Arslan4Departments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, TurkeyDepartments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, TurkeyDepartments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, TurkeyDepartments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, TurkeyDepartments of Pediatrics, Faculty of Medicine, TOBB University of Economics and Technology, Ankara, TurkeyKawasaki disease is the most common vasculitis of childhood. In its classical form, at least four of five diagnostic criteria including cervical lymphadenopathy (1.5 cm or more), nonsuppurative conjunctivitis, intraoral mucosal changes, edema in hands and feet, and maculopapular rash are required with prolonged fever over 5 days. Atypical cases which are different from the classical type or incomplete cases which does not include all the diagnostic criteria can be seen. The typical Kawasaki disease is a self-limiting disease with fever lasting for an average of two weeks. In such patients who have not been diagnosed and whose treatment has been delayed, coronary artery aneurysm, myocardial depression, arrhythmia, and vascular complications may increase morbidity and mortality. We would like to present a rare case of an atypical patient with gallbladder hydrops and acute cholestatic hepatitis.http://dx.doi.org/10.1155/2018/4930234
spellingShingle B. O. Kılıç
Ş. Baysun
T. C. Gökşen
İ. Akınbingöl
Z. Arslan
An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
Case Reports in Medicine
title An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
title_full An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
title_fullStr An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
title_full_unstemmed An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
title_short An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
title_sort unusual presentation of kawasaki disease gallbladder hydrops and acute cholestatic hepatitis
url http://dx.doi.org/10.1155/2018/4930234
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