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{
    "pk": 792,
    "title": "Acute Jaundice in a Six-year-old:  An Unusual Presentation of Atypical Kawasaki Disease",
    "subtitle": null,
    "abstract": "Kawasaki disease (KD) is a rare vasculitis of childhood that is critical to recognize and treat due to associated morbidity and mortality. A six-year-old male presented to our emergency department (ED) afebrile but with reported recent fevers. Exam revealed jaundice and erythematous tongue with papules, and laboratory studies indicated a direct hyperbilirubinemia. Admitted for evaluation, he developed continuous fever, increasing maculopapular rash, and subsequent desquamation of hands and feet. He ultimately met criteria for incomplete KD, was treated with intravenous immunoglobulin, and avoided cardiac complications. This presentation of incomplete KD with hyperbilirubinemia is rare because the patient was afebrile at ED presentation.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7jt127p7",
    "frozenauthors": [
        {
            "first_name": "LCDR William",
            "middle_name": "",
            "last_name": "Bylund",
            "name_suffix": "",
            "institution": "Naval Hospital Okinawa, Department of Emergency Medicine, Okinawa, Japan",
            "department": "None"
        },
        {
            "first_name": "Gregory",
            "middle_name": "J.",
            "last_name": "Zarow",
            "name_suffix": "",
            "institution": "Combat Trauma Research Group, Naval Medical Center Portsmouth, Portsmouth, Virginia; The Emergency Statistician, Idyllwild, California",
            "department": "None"
        },
        {
            "first_name": "LCDR Daphne",
            "middle_name": "",
            "last_name": "Morrison Ponce",
            "name_suffix": "",
            "institution": "University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2020-02-24T19:58:43-05:00",
    "date_accepted": "2020-02-24T19:58:43-05:00",
    "date_published": "2020-02-24T19:59:15-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/792/galley/546/download/"
        }
    ]
}