Review for 10.1186/s12876-020-01495-6 (2020)

Reviewer’s report
Title: 
ACUTE CHOLESTASIS AS UNCOMMON ONSET OF KAWASAKI
DISEASE: CASE REPORT
Version: 
1 
Date: 
19 Dec 2019
Reviewer's report:
The English language is a bit strange, I even understood with difficulty some
terms after referring to the dictionary. I will include some of my comments on
the language:
Phlogosis for inflammatory Dictionary: inflammation of the external parts of the
body
elevated phlogosis exams: do they mean acute phase reactants, namely ESR and
CRP?
Epiploon: omentum
Coproculture: is it stool culture?
What 
is: "intravenous antiinflammatory therapy"?
Instead, when laparotomy exploration is performed, it reveals a calculous,
inflamed and edematous gallbladder? What do the authors mean? a calculous or
acalculous?
Are the authors sure of the diagnosis of Kawasaki disease? The patient has been
sick for weeks without any involvement of medium sized vessels: coronory,
axillary, subclavian, popliteal, femoral, brachial
Severe forms of KD include: KD shock syndrome: from myocardial involvement
and are the most liable to coronary artery involvement and DIC with
thrombocytopenia
Multiplicity of lymph nodes, not unilateral >1.5 cm
Why is not the case drug-reaction? particularly that the authors chose first-line
treatment: steroids? Not IVIG? In the literature the Japanese have used steroids
to improve coronary outcome according to Japanese literature and Kobayashi
score (combined steroids and IVIG)
The authors mentioned the following:Corticosteroid treatment should be given to
patients with severe KD, who are intravenous immunoglobulins resistant. Have
they used IVIG and proved resistant?
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
Unable to assess
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the
authors.
Unable to assess
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
No
Are you able to assess any statistics in the manuscript or would you
recommend an additional statistical review?
If an additional statistical review is recommended, please specify what aspects
require further assessment in your comments to the editors.
Not relevant to this manuscript
Quality of written English
Please indicate the quality of language in the manuscript:
Not suitable for publication unless extensively edited
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