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Joseph Junewick, MD FACR
over 6 years ago
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Kawasaki Disease - Gall Bladder

Case Detail

Anatomy: Gastrointestinal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 6 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: US
Activities:
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History

5 month old female with abnormal liver function tests.


Case Images


Diagnosis

Kawasaki Disease – Gall Bladder

Findings

US – Marked mural edema of the gallbladder with some ascites.

Discussion

Kawasaki disease is an acute multisystemic vasculitis syndrome characterized by fever for at least five days, and four of the five following conditions: bilateral nonpurulent conjunctival injection, oral mucosal changes (erythema or dryness or fissuring of the lips, strawberry tongue, and erythema of the oropharynx), peripheral extremity changes (edema or erythema of palms or soles, desquamation of tips of fingers and toes), rash (polymorphic and nonvesicular, commonly truncal), and cervical lymphadenopathy. However, many other clinical features which are not included in the diagnostic criteria may also be seen including uveitis, aseptic meningitis, urethritis, arthralgia, arthritis, abdominal pain, liver function impairment, heart failure, and gallbladder hydrops. Adenopathy around the cystic duct causing obstruction, vasculitis or perivasculitis of the gallbladder wall, and inflammatory infiltrates are possible mechanisms for gallbladder disease.

Reference

Chung CJ, Stein L. Kawasaki disease: A review. Radiology (1998); 208:25-33.



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