Maria Miguel Gomes, Henedina Antunes, Ana Luísa Lobo, Fernando Branca, Jorge Correia-Pinto, João Moreira-Pinto
A three-year-old male child presented with erythematous maculopapular nonpruritic generalized rash, poor feeding, vomiting, and cramping generalized abdominal pain. He was previously healthy and there was no family history of immunologic or other diseases. On examination he was afebrile, hemodynamically stable, with painful palpation of the right upper quadrant and positive Murphy's sign. Laboratory tests revealed elevated inflammatory markers, elevated aminotransferase activity, and features of cholestasis...
2016: Case Reports in Pediatrics