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Title of Journal: Pediatr Nephrol

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Abbravation: Pediatric Nephrology

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Springer-Verlag

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DOI

10.1002/jctb.5010080111

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1432-198X

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Acute acalculous cholecystitis in a child with sys

Authors: Mitra Basiratnia Mohammad Vasei Ali Bahador Esmaeel Ebrahimi Ali Derakhshan
Publish Date: 2006/03/31
Volume: 21, Issue: 6, Pages: 873-876
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Abstract

A 10yearold boy with systemic lupus erythematosus SLE developed abrupt right upper quadrant pain and vomiting during the course of his active disease Antiphospholipid antibody was negative and the C3 level was low Abdominal sonography showed cholecystitis with sludge balls in the gallbladder He was treated by highdose prednisolone with ceftriaxone and metronidazole IV for 3 days but due to poor response cholecystectomy was performed and no stone was identified Histopathologic examination showed vasculitis in the mediumsized arteries of the gallbladder wall He was doing well at the 9month followup after the operation This report describes the first pediatric case of SLE with acalculous cholecystitis caused by vasculitis of the gallbladder

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