{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:31:50Z","timestamp":1779366710374,"version":"3.53.0"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,12,2]],"date-time":"2005-12-02T00:00:00Z","timestamp":1133481600000},"content-version":"vor","delay-in-days":3807,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[1995,7]]},"abstract":"Abstract<\/jats:title>This study attempts to investigate whether gallbladder wall thickening (GBWT) measured by ultrasonography can be used in children as a reliable criterion to predict the onset of severe dengue hemorrhage fever (DHF). In this prospective study, we performed ultrasound examinations focusing on the gallbladder wall and the presence of intraperitoneal free fluid in 48 mild DHF cases (grades I\u2013II) and 48 severe cases (grades III\u2013IV). GBWT varied between 1 mm and 8 mm with a mean of 3.77 mm \u00b1 2.04 mm. The mean value of DHF grades I and II (2.39 mm \u00b1 1.48 mm) is significantly lower than that of grades III and IV (5.14 mm \u00b1 1.54 mm), p<\/jats:italic> < 0.001. GBWT exceeded 3 mm in only 16 of 48 (33.3%) grade I\u2013II patients and in 45 of 48 (93.8%) grade III\u2013IV patients. A significant positive correlation was apparent between GBWT and the severity of illness, p<\/jats:italic> < 0.001. Patients with ascites have significantly thicker gallbladder walls than those without, p<\/jats:italic> < 0.01. In clinically confirmed DHF cases, the sonographic finding of GBWT >3 mm to 5 mm, with 93.8% sensitivity, can be used as a criterion indicating the need for admission and monitoring. A GBWT of \u2a7e5 mm, with 91.7% specificity, is useful as a criterion for identifying DHF patients at high risk of developing hypovolemic shock. \u00a9 1995 John Wiley & Sons, Inc.<\/jats:p>","DOI":"10.1002\/jcu.1870230605","type":"journal-article","created":{"date-parts":[[2007,2,28]],"date-time":"2007-02-28T22:37:16Z","timestamp":1172702236000},"page":"357-362","source":"Crossref","is-referenced-by-count":47,"title":["Gallbladder wall thickening in dengue hemorrhagic fever: An ultrasonographic study"],"prefix":"10.1002","volume":"23","author":[{"given":"Melani W.","family":"Setiawan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatang K.","family":"Samsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas N.","family":"Pool","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Sugianto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Wulur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,12,2]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1870060313"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.141.1.57"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.136.2.337"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1870150503"},{"key":"e_1_2_1_6_2","unstructured":"SetiawanMW SugiantoD WulurH SamsiTK:Ultrasound in fluid collections: the value in the management of dengue hemorrhagic fever. 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