Skip to main content
Top
Published in: Pediatric Rheumatology 1/2010

Open Access 01-12-2010 | Case Report

Pancreatitis and atypical Kawasaki disease

Authors: Dragan Prokic, Goran Ristic, Zoran Paunovic, Srdjan Pasic

Published in: Pediatric Rheumatology | Issue 1/2010

Login to get access

Abstract

We report on pediatric patient with clinical and laboratory evidence of pancreatitis at onset of atypical Kawasaki disease (KD). In KD pancreatic inflammation was described previously, but clinical pancreatitis was rarely reported and its true incidence is unknown.
In febrile pediatric patients suspected to have KD, but not fulfilling classical diagnostic criteria, signs of pancreatic inflammation may help in making correct diagnosis. Further analysis of cases with atypical KD developing pancreatitis may reveal if signs of pancreatic inflammation can be used as supportive diagnostic finding.
Literature
1.
go back to reference Kawasaki T: [Pediatric mucocutaneous lymph node syndrome: clinical observation of 50 cases]. Arerugi (Jpn J Allergy). 1967, 16: 178-222. Kawasaki T: [Pediatric mucocutaneous lymph node syndrome: clinical observation of 50 cases]. Arerugi (Jpn J Allergy). 1967, 16: 178-222.
2.
go back to reference Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, Shulman ST, Bolger AF, Ferrieri P, Baltimore RS, Wilson WR, Baddour LM, Levison ME, Pallasch TJ, Falace DA, Taubert KA, Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association: Diagnosis, treatment and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki disease. Pediatrics. 2004, 114: 1708-33. 10.1542/peds.2004-2182.CrossRefPubMed Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, Shulman ST, Bolger AF, Ferrieri P, Baltimore RS, Wilson WR, Baddour LM, Levison ME, Pallasch TJ, Falace DA, Taubert KA, Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association: Diagnosis, treatment and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki disease. Pediatrics. 2004, 114: 1708-33. 10.1542/peds.2004-2182.CrossRefPubMed
3.
go back to reference Zulian F, Falcini F, Zancan L, Martini G, Secchieri S, Luzzato C, Zacchello F: Acute surgical abdomen as presenting manifestation of Kawasaki disease. J Pediatr. 2003, 142: 731-5. 10.1067/mpd.2003.232.CrossRefPubMed Zulian F, Falcini F, Zancan L, Martini G, Secchieri S, Luzzato C, Zacchello F: Acute surgical abdomen as presenting manifestation of Kawasaki disease. J Pediatr. 2003, 142: 731-5. 10.1067/mpd.2003.232.CrossRefPubMed
4.
go back to reference Simonini G, Rose CD, Vierucci A, Falcini F, Athreya BH: Diagnosing Kawasaki syndrome: the need for a new clinical tool. Rheumatology. 2005, 44: 959-61. 10.1093/rheumatology/keh593.CrossRefPubMed Simonini G, Rose CD, Vierucci A, Falcini F, Athreya BH: Diagnosing Kawasaki syndrome: the need for a new clinical tool. Rheumatology. 2005, 44: 959-61. 10.1093/rheumatology/keh593.CrossRefPubMed
5.
go back to reference Amano S, Hazama F, Kubagawa H, Tasaka K, Haebara H, Hamashima Y: General pathology of Kawasaki disease: On the morphological alterations corresponding to the clinical manifestations. Acta Pathol Jpn. 1980, 30: 691-94. Amano S, Hazama F, Kubagawa H, Tasaka K, Haebara H, Hamashima Y: General pathology of Kawasaki disease: On the morphological alterations corresponding to the clinical manifestations. Acta Pathol Jpn. 1980, 30: 691-94.
6.
go back to reference Stoler J, Biller JA, Grand RJ: Pancreatitis in Kawasaki disease. Am J Dis Child. 1987, 141: 306-8.PubMed Stoler J, Biller JA, Grand RJ: Pancreatitis in Kawasaki disease. Am J Dis Child. 1987, 141: 306-8.PubMed
7.
go back to reference Lanting WA, Muinos WI, Kamani NR: Pancreatitis heralding Kawasaki disease. J Pediatr. 1992, 121: 743-4. 10.1016/S0022-3476(05)81906-7.CrossRefPubMed Lanting WA, Muinos WI, Kamani NR: Pancreatitis heralding Kawasaki disease. J Pediatr. 1992, 121: 743-4. 10.1016/S0022-3476(05)81906-7.CrossRefPubMed
8.
go back to reference Blum-Hoffman E, Hoffman GF, Wessel A, Gahr M: Kawasaki-Syndrom. Assoziation mit dem Eposition von Teppishshampoo und erfolgeiche Therapie mit Immunglobulinen in der zweiten Krankheitwoche. Monatsschr Kinderheilkd. 1992, 140: 273-76. Blum-Hoffman E, Hoffman GF, Wessel A, Gahr M: Kawasaki-Syndrom. Assoziation mit dem Eposition von Teppishshampoo und erfolgeiche Therapie mit Immunglobulinen in der zweiten Krankheitwoche. Monatsschr Kinderheilkd. 1992, 140: 273-76.
9.
go back to reference Asano T, Sasaki N, Yashiro K, Hatori T, Kuwabara K, Hamada H, Imai T, Fujino O: Acute panceatitis with Kawasaki disease: analysis of cases with elevated serum amylase levels. Eur J Pediatr. 2005, 164: 180-181. 10.1007/s00431-004-1589-4.CrossRefPubMed Asano T, Sasaki N, Yashiro K, Hatori T, Kuwabara K, Hamada H, Imai T, Fujino O: Acute panceatitis with Kawasaki disease: analysis of cases with elevated serum amylase levels. Eur J Pediatr. 2005, 164: 180-181. 10.1007/s00431-004-1589-4.CrossRefPubMed
10.
go back to reference Kushner HI, Bastian JF, Turner CH, Burns JC: Rethinking the boundaries of Kawasaki disease: toward a revised case definition. Perspect Biol Med. 2003, 46: 216-33. 10.1353/pbm.2003.0024.CrossRefPubMed Kushner HI, Bastian JF, Turner CH, Burns JC: Rethinking the boundaries of Kawasaki disease: toward a revised case definition. Perspect Biol Med. 2003, 46: 216-33. 10.1353/pbm.2003.0024.CrossRefPubMed
Metadata
Title
Pancreatitis and atypical Kawasaki disease
Authors
Dragan Prokic
Goran Ristic
Zoran Paunovic
Srdjan Pasic
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Pediatric Rheumatology / Issue 1/2010
Electronic ISSN: 1546-0096
DOI
https://doi.org/10.1186/1546-0096-8-8

Other articles of this Issue 1/2010

Pediatric Rheumatology 1/2010 Go to the issue