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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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Autores principales: Kılıç, B. O., Baysun, Ş., Gökşen, T. C., Akınbingöl, İ., Arslan, Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051122/
https://www.ncbi.nlm.nih.gov/pubmed/30057618
http://dx.doi.org/10.1155/2018/4930234
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author Kılıç, B. O.
Baysun, Ş.
Gökşen, T. C.
Akınbingöl, İ.
Arslan, Z.
author_facet Kılıç, B. O.
Baysun, Ş.
Gökşen, T. C.
Akınbingöl, İ.
Arslan, Z.
author_sort Kılıç, B. O.
collection PubMed
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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spelling pubmed-60511222018-07-29 An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis Kılıç, B. O. Baysun, Ş. Gökşen, T. C. Akınbingöl, İ. Arslan, Z. Case Rep Med Case Report 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. Hindawi 2018-07-03 /pmc/articles/PMC6051122/ /pubmed/30057618 http://dx.doi.org/10.1155/2018/4930234 Text en Copyright © 2018 B. O. Kılıç et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kılıç, B. O.
Baysun, Ş.
Gökşen, T. C.
Akınbingöl, İ.
Arslan, Z.
An Unusual Presentation of Kawasaki Disease: Gallbladder Hydrops and Acute Cholestatic Hepatitis
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051122/
https://www.ncbi.nlm.nih.gov/pubmed/30057618
http://dx.doi.org/10.1155/2018/4930234
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