paraclinical evolutions regarding liver and renal abnormalities of kawasaki disease in the southeast of iran

نویسندگان

gholamreza soleimani children and adolescents health research center, ali-ebne-abitaleb hospital, zahedan university of medical sciences, zahedan, ir iran; children and adolescents health research center, zahedan university of medical sciences, ali-ebne-abitaleb hospital, zahedan, ir iran. tel: +98-5412440482, fax: +98-5413425596سازمان های دیگر: ali-ebne-abitaleb hospital

simin sadeghi bojd children and adolescents health research center, ali-ebne-abitaleb hospital, zahedan university of medical sciences, zahedan, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی زاهدان (zahedan university of medical sciences)سازمان های دیگر: ali-ebne-abitaleb hospital

mahsa tajik children and adolescents health research center, ali-ebne-abitaleb hospital, zahedan university of medical sciences, zahedan, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی زاهدان (zahedan university of medical sciences)

elham shafighi shahri children and adolescents health research center, ali-ebne-abitaleb hospital, zahedan university of medical sciences, zahedan, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی زاهدان (zahedan university of medical sciences)

چکیده

background kawasaki disease (kd) is a vasculitis affecting multi-organ systems including liver and kidneys. kd is diagnosed by some clinical criteria including sterile pyuria, microscopic hematuria, proteinuria due to renal involvement, liver abnormalities manifesting as abnormal liver function tests, gallbladder hydrops, and hypoalbuminemia. objectives the aim of the study was to determine the frequency of liver and renal abnormalities in patients with kd, hospitalized in ali-ebne-abitaleb hospital of zahedan during 2006 - 2013. materials and methods paraclinical findings including serum and urine tests as well as gallbladder ultrasonography of 47 patients with kd hospitalized in ali-ebne-abitaleb hospital of zahedan during 2006 - 2013 were reviewed retrospectively. results liver abnormalities were found in 22 (46.8%) cases and impaired liver function tests were more common than other liver abnormalities in this cross-sectional study. the incidence of abnormal liver function tests in this study was about 42%. gallbladder hydrops were found in 6 (12.7%) patients and 18 (38.3%) had renal involvement. sterile pyuria was the most common urine abnormality with incidence of 36.2%. microscopic hematuria and proteinuria were rarely found; in addition, serum urea nitrogen and creatinine had normal levels in all patients. conclusions the possibility of kd should be considered in any infants or children with abnormal results in liver or renal function tests. paraclinical findings of liver and renal involvements of all patients were partly similar to the previous studies.

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عنوان ژورنال:
journal of comprehensive pediatrics

جلد ۵، شماره ۱، صفحات ۰-۰

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