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...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2018-01-01
|
Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2018/4930234 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832564613571411968 |
---|---|
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. |
format | Article |
id | doaj-art-6be728a36d3645729ccd9c1c21c052b5 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
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 |
work_keys_str_mv | AT bokılıc anunusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT sbaysun anunusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT tcgoksen anunusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT iakınbingol anunusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT zarslan anunusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT bokılıc unusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT sbaysun unusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT tcgoksen unusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT iakınbingol unusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis AT zarslan unusualpresentationofkawasakidiseasegallbladderhydropsandacutecholestatichepatitis |