ACUTE CHOLESTASIS: ATYPICAL ONSET OF KAWASAKI DISEASE

Piero Valentini, Gabriella De Rosa, Emanuele Ausili, Alessandra Schiavino, Donatella Francesca Angelone, Benedetta Focarelli, Orazio Gaetano Ranno

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Atypical onset of Kawasaki disease (KD) is a frequent problem leading to diagnostic mistake. Acute cholestasis and liver involvement occur occasionally as minor manifestation of KD. We report the case of a 6-year-old boy presenting fever, jaundice, abdominal pain, and ascites who subsequently developed typical KD clinical pattern just at the same time of echocardiographic coronary arteries anomalies. Abdominal radiological evaluation was normal and seroimmunologic markers resulted negative. Shortly after intravenous immunoglobulin and acetylsalicylic acid administration the clinical features disappeared. KD should be considered in differential diagnosis in children with cholestasis, abdominal pain and fever of unknown etiology.
Original languageEnglish
Pages (from-to)582-584
Number of pages3
JournalDIGESTIVE AND LIVER DISEASE
Volume40
Publication statusPublished - 2008

Keywords

  • ACUTE CHOLESTASIS

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