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Decreased portal vein flow during K awasaki disease in a liver transplant patient
Author(s) -
Wakiya Taiichi,
Urahashi Taizen,
Ihara Yoshiyuki,
Sanada Yukihiro,
Yamada Naoya,
Okada Noriki,
Hakamada Kenichi,
Mizuta Koichi
Publication year - 2013
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12138
Subject(s) - medicine , portal vein , liver transplantation , liver disease , liver function , gastroenterology , disease , liver function tests , transplantation , portal hypertension , surgery , cirrhosis
Abnormalities of liver function tests are frequently documented in patients with K awasaki disease, but the mechanism responsible for this has not yet been established. Described herein is the case of a 1‐year‐10‐month‐old girl who underwent liver transplantation at 11 months of age. Eleven months after transplantation the patient was diagnosed with K awasaki disease, which was associated with some portal flow reduction, and received i.v. immunoglobulin, after which fever abated with improvement of portal flow to its pre‐fever level. Abnormalities of liver function tests in K awasaki disease patients may occur as a result of inflammation of both the biliary and portal systems. There are no reports on the potential relationship between K awasaki disease and the portal vein, and accumulation of further data is necessary to better examine this relationship.