Another face of Kawasaki disease

Aldemir-Kocabas B., Karbuz A., Karadeniz C., Ciftci O., ÖZDEMİR H., Bolkent M. G., ...More

TURKISH JOURNAL OF PEDIATRICS, vol.56, no.4, pp.392-398, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 56 Issue: 4
  • Publication Date: 2014
  • Journal Name: TURKISH JOURNAL OF PEDIATRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.392-398
  • Keywords: coronary artery aneurysm, infrequent symptoms, Kawasaki disease, unusual findings, PERIPHERAL-BLOOD EOSINOPHILIA, MANAGEMENT, PHASE
  • Ankara University Affiliated: Yes

Abstract

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.