Kawasaki disease presenting as acute clinical hepatitis

Kawasaki disease is a systemic vasculitis of children. Among gastrointestinal symptoms of this disease jaundice occurs uncommonly. We present a 23 month boy with icter and clinical hepatitis and final diagnosis of kawasaki disease

[Endocrine disorder in children with chronic liver diseases]

An important consequence of chronic liver disease [CLD] is endocrine disorders. The main object of this study was to assess serum hormones in children with CLD. In a cross sectional study between 2007-2009, 57 children with chronic liver disease were enrolled. Levels of serum triiodothyronine [T3], thyroxin [T4], thyroid stimulating hormone [TSH], parathormon [PTH], calcium[c], phosphor [P], alkalanephosphatase [ALP],growth hormone[GH] and insulin like growth factor-1[IGF-1], albumin [ALB] and total protein, triglyceride [TG] and cholesterol [CHOL], fasting blood sugar [FBS] and liver function tests were measured. In this study, most patients' thyroid hormones and fasting blood sugar were at normal range. But there was a significant decline in serum IGF- 1 levels in this patients. 28 percent of children had PTH levels higher than normal range for age and 24 percent had serum phosphor levels lower than normal range .1/3 of these patients were bone fracture. Overt diabetics did not obsereve in our children. Children with CLD are GH resistant and might be at risk of osteopenia and bone fracture. So serum hormone levels should be carefully monitored in children with CLD