The Turkish Journal of Pediatrics 2014 , Vol 56 , Num 4
Another Face of Kawasaki Disease
Divisions of 1Pediatric Infectious Diseases, and 2Pediatric Cardiology, 3Department of Pediatrics and 3Department of Radiology, Ankara University, Faculty of Medicine, Ankara, Turkey
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We aimed both to define the characteristics of patients with Kawasaki Disease (KD), and to highlight infrequent and unusual findings of the disease by presenting selected cases. We retrospectively evaluated 35 patients diagnosed with KD in our clinic between January 1994 and January 2013. The male to female ratio was 1.33 and the median age at admission was 22 months (1.5-132 months). Fourteen patients (40%) had coronary artery lesions (CAL). Twenty-five cases (72%) had complete and 10 cases (28%) had incomplete KD; the incidence of CAL in these groups was 36% and 50%, respectively. Two patients had giant coronary aneurysms. Six cases received a second dose of intravenous immunoglobulin, and one patient received pulse methylprednisolone. Seven cases had unusual and/or infrequent presentation patterns and/or follow-up. Physicians should be aware of all symptoms and laboratory findings of KD in order to avoid any delays in diagnosis and decrease the risk of life-threatening complications. Keywords : coronary artery aneurysm, infrequent symptoms, Kawasaki disease, unusual findings.
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