Author/Authors :
Talebian، Ahmad نويسنده , , Soltani، Babak Soltani نويسنده MD,1.Assistant Professor, Pediatric Infectious Diseases, Faculty of Medicine, Kashan University of Medical Sciences,Kashan, Iran , , Haji Rezaei، Mostafa نويسنده Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran ,
Abstract :
Atypical Kawasaki disease (KD) is a diagnostic dilemma. Acute acalculous cholestasis and liver involvement sometimes indicate atypical presentations of KD. We report a four-year-old boy with fever, abdominal pain, vomiting, jaundice and mild liver enlargement who gradually developed other signs of KD. He was treated by aspirin, intravenous immunoglobulin and finally methylprednisolone pulse therapy with no sequela. KD should be kept in mind as one of the causes of childhood acalculous cholestasis, abdominal discomfort and prolonged fever
