An adolescent with fever, jaundice, and abdominal pain: An unusual presentation of kawasaki disease

Kelly Nicole Fradin, Hai Jung Helen Rhim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A 16-year-old boy presented with a 6-day history of fevers and myalgias and a 4-day history of diffuse crampy abdominal pain. On admission, his sclerae were icteric and he had diffuse abdominal tenderness. Erythrocyte sedimentation rate was elevated to 40; the γ-glutamyl transferase level was elevated to 168 U/L; indirect bilirubin was 5.6 mg/dL; and direct bilirubin was 3.3 mg/dL. During the next 2 days, he developed many stigmata of Kawasaki disease (KD), including conjunctivitis, desquamating rash, mucosal changes, swelling of the hands and feet, and lymphadenopathy. KD is commonly seen in young children but can also occur in adolescents and adults. Providers should be aware that these age-groups are at risk for KD and may present with atypical symptoms. Delays in diagnosis can put these adolescents at increased risk of coronary artery aneurysms, and, accordingly, a high index of suspicion is essential.

Original languageEnglish (US)
Pages (from-to)131-133
Number of pages3
JournalJournal of Adolescent Health
Volume52
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Mucocutaneous Lymph Node Syndrome
Jaundice
Abdominal Pain
Fever
Bilirubin
Coronary Aneurysm
Christianity
Sclera
Conjunctivitis
Blood Sedimentation
Myalgia
Transferases
Exanthema
Foot
Coronary Vessels
Hand
Age Groups

Keywords

  • Adolescence
  • Coronary artery aneurysm
  • Jaundice
  • Kawasaki disease

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

An adolescent with fever, jaundice, and abdominal pain : An unusual presentation of kawasaki disease. / Fradin, Kelly Nicole; Rhim, Hai Jung Helen.

In: Journal of Adolescent Health, Vol. 52, No. 1, 01.2013, p. 131-133.

Research output: Contribution to journalArticle

@article{fddf4afc967f4915a63be784bec481c3,
title = "An adolescent with fever, jaundice, and abdominal pain: An unusual presentation of kawasaki disease",
abstract = "A 16-year-old boy presented with a 6-day history of fevers and myalgias and a 4-day history of diffuse crampy abdominal pain. On admission, his sclerae were icteric and he had diffuse abdominal tenderness. Erythrocyte sedimentation rate was elevated to 40; the γ-glutamyl transferase level was elevated to 168 U/L; indirect bilirubin was 5.6 mg/dL; and direct bilirubin was 3.3 mg/dL. During the next 2 days, he developed many stigmata of Kawasaki disease (KD), including conjunctivitis, desquamating rash, mucosal changes, swelling of the hands and feet, and lymphadenopathy. KD is commonly seen in young children but can also occur in adolescents and adults. Providers should be aware that these age-groups are at risk for KD and may present with atypical symptoms. Delays in diagnosis can put these adolescents at increased risk of coronary artery aneurysms, and, accordingly, a high index of suspicion is essential.",
keywords = "Adolescence, Coronary artery aneurysm, Jaundice, Kawasaki disease",
author = "Fradin, {Kelly Nicole} and Rhim, {Hai Jung Helen}",
year = "2013",
month = "1",
doi = "10.1016/j.jadohealth.2012.06.007",
language = "English (US)",
volume = "52",
pages = "131--133",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - An adolescent with fever, jaundice, and abdominal pain

T2 - An unusual presentation of kawasaki disease

AU - Fradin, Kelly Nicole

AU - Rhim, Hai Jung Helen

PY - 2013/1

Y1 - 2013/1

N2 - A 16-year-old boy presented with a 6-day history of fevers and myalgias and a 4-day history of diffuse crampy abdominal pain. On admission, his sclerae were icteric and he had diffuse abdominal tenderness. Erythrocyte sedimentation rate was elevated to 40; the γ-glutamyl transferase level was elevated to 168 U/L; indirect bilirubin was 5.6 mg/dL; and direct bilirubin was 3.3 mg/dL. During the next 2 days, he developed many stigmata of Kawasaki disease (KD), including conjunctivitis, desquamating rash, mucosal changes, swelling of the hands and feet, and lymphadenopathy. KD is commonly seen in young children but can also occur in adolescents and adults. Providers should be aware that these age-groups are at risk for KD and may present with atypical symptoms. Delays in diagnosis can put these adolescents at increased risk of coronary artery aneurysms, and, accordingly, a high index of suspicion is essential.

AB - A 16-year-old boy presented with a 6-day history of fevers and myalgias and a 4-day history of diffuse crampy abdominal pain. On admission, his sclerae were icteric and he had diffuse abdominal tenderness. Erythrocyte sedimentation rate was elevated to 40; the γ-glutamyl transferase level was elevated to 168 U/L; indirect bilirubin was 5.6 mg/dL; and direct bilirubin was 3.3 mg/dL. During the next 2 days, he developed many stigmata of Kawasaki disease (KD), including conjunctivitis, desquamating rash, mucosal changes, swelling of the hands and feet, and lymphadenopathy. KD is commonly seen in young children but can also occur in adolescents and adults. Providers should be aware that these age-groups are at risk for KD and may present with atypical symptoms. Delays in diagnosis can put these adolescents at increased risk of coronary artery aneurysms, and, accordingly, a high index of suspicion is essential.

KW - Adolescence

KW - Coronary artery aneurysm

KW - Jaundice

KW - Kawasaki disease

UR - http://www.scopus.com/inward/record.url?scp=84871395923&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871395923&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2012.06.007

DO - 10.1016/j.jadohealth.2012.06.007

M3 - Article

C2 - 23260847

AN - SCOPUS:84871395923

VL - 52

SP - 131

EP - 133

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 1

ER -