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.
Highlights
We report on pediatric patient with clinical and laboratory evidence of pancreatitis at onset of atypical Kawasaki disease (KD)
Atypical KD is defined as one in which atypical symptoms/signs not belonging to the classical criteria of KD herald the onset of the disease [2]
Children with atypical KD may present with acute abdominal symptoms, meningeal irritation, pneumonia or renal impairment [3,4]
Summary
We report on pediatric patient with clinical and laboratory evidence of pancreatitis at onset of atypical Kawasaki disease (KD). Case Report A 6-year-old boy of Caucasian origin was referred to our Institute because of fever, rash and abdominal pain. Abdominal ultrasound examination showed hydrops of the gallbladder and enlarged, edematous pancreas with small effusion in peritoneal cavity.
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