Pediatric Rheumatology

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Pancreatitis and atypical Kawasaki disease

Dragan Prokic1, Goran Ristic2, Zoran Paunovic3 and Srdjan Pasic2*

Author Affiliations

1 Department of Pediatric Gastroenterology, Mother and Child Health Institute, Medical School, University of Belgrade, Serbia

2 Department of Immunology, Mother and Child Health Institute, Medical School, University of Belgrade, Serbia

3 Department of Surgery, Mother and Child Health Institute, Medical School, University of Belgrade, Serbia

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Pediatric Rheumatology 2010, 8:8 doi:10.1186/1546-0096-8-8

Published: 11 February 2010

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.