Atypical kawasaki disease: An often missed diagnosis

@article{Boven2005AtypicalKD,
  title={Atypical kawasaki disease: An often missed diagnosis},
  author={K. Boven and Elizabeth R. de Graeff-Meeder and Wim G. M. Spliet and Wietse Kuis},
  journal={European Journal of Pediatrics},
  year={2005},
  volume={151},
  pages={577-580}
}
We describe four patients with vasculitis of the coronary and other medium sized arteries. Three of them died as a consequence of cardiac failure and the fourth had a ruptured aneurysm of the left common iliac artery. Coronary vasculitis is pathognomonic for Kawasaki disease (KD), but our patients had few other signs of this disorder, suggesting so called atypical KD. Because the described patients lacked most of the clinical criteria, the diagnosis was delayed. We focus on other clinical… 
Coronary Artery Involvement Following Kawasaki Disease: A Case Report of a 5 Month Old African Infant
TLDR
A 5 month old female infant presented at the Uganda Heart Institute with KD associated with coronary artery involvement and is currently undergoing follow up, with remarkable improvement as the fever subsided with in 24 hours of treatment.
A ruptured middle cerebral artery aneurysm in a 13-month-old boy with Kawasaki disease.
TLDR
This 13-month-old boy, in whom Kawasaki disease had been diagnosed at the age of 6 months, presented with subarachnoid hemorrhage caused by the rupture of a middle cerebral artery aneurysm, providing a novel clinical feature that the authors call Kawasaki syndrome.
Prolonged fever and pyuria: A urinary tract infection presentation of incomplete Kawasaki disease
TLDR
Persistent fever and pyuria were the initial presentation without concomitant signs suggestive of Kawasaki disease; thus the patients were treated as urinary tract infection.
Enfermedad de Kawasaki: a propósito de un caso atípico y con intususcepción
TLDR
A diagnosis of Kawasaki disease and an echocardiographic evaluation of the coronary arteries should be considered in young infants with prolongued fever of unkown origin.
Atypical Kawasaki disease with peripheral gangrene and myocardial infarction: Therapeutic implications
TLDR
This is the first patient with incomplete KD and peripheral ischaemia in whom therapy with prostaglandin E1 (PGE1) as vasodilating and antithrombotic agent appeared successful, restoring hand and foot perfusion without significant long-term sequelae.
Usefulness of Transthoracic Echocardiography to Detect Coronary Aneurysm in Young Adult: Two Cases of Acute Myocardial Infarction Due to Kawasaki Disease
TLDR
Two young adults admitted for a diagnosis of acute myocardial infarction ascribed to Kawasaki disease are described and treated by angioplasty and follow‐up transthoracic echocardiography revealed coronary aneurysms at the culprit lesions.
Interventional treatment for very young adults with acute myocardial infarction. Clinical manifestations and outcome.
TLDR
The findings of this report suggest that PCI for very young adults with AMI can be safe and effective in the short-term.
Clinical fetures of kawasaki disease in school-aged children
목 적 : 학동기 아동에서의 가와사끼병은 드물게 나타나며 대부분 불완전한 양상을 보이므로 진단이 늦어지고 심혈관계 합병증의 발생이 증가한다. 본 연구에서는 이들의 임상 특징을 조사하여 이 연령군에서 가와사끼병의 조기 진단에 도움이 되고자 하였다. 방 법 : 1995년 6월부터 2006년 5월까지 가와사끼병으로 입원하...
Fallbericht: Tod eines 2-jährigen Mädchens bei postmortaler Diagnose einer seltenen, Kawasaki-Syndrom-typischen Koronararterienvaskulitis
Das Kawasaki-Syndrom, eine Autoimmunvaskulitis der Koronararterien, ist eine zumindest in Deutschland seltene Erkrankung, welche sich typischerweise im Kindesalter manifestiert. Die Symptomatik ist
...
1
2
...

References

SHOWING 1-10 OF 29 REFERENCES
Atypical Kawasaki disease.
TLDR
A case of atypical Kawasaki Disease, in which ophthalmologic and neurologic symptoms were observed besides an important rise in transaminases levels is reported, which warns that over reliance on classical criteria may be restrictive, may delay the diagnosis and prevent the effective and early treatment in atypicals cases.
Atypical Kawasaki disease with aortic aneurysm.
TLDR
An unusual case of Kawasaki disease is reported, with a large abdominal aortic aneurysm developed, which subsequently was resected and an asymptomatic myocardial infarction secondary to bilateral coronary arterialAneurysms was documented.
An Atypical Presentation of Kawasaki Syndrome in an Infant
TLDR
Differential diagnosis of infants with prolonged fevers and rash, who do not fit into other diagnostic categories, should include KS and an appropriate cardiac examination including consider the use of an echocardiogram.
Clinical spectrum of Kawasaki disease in infants younger than 6 months of age.
TLDR
The currently accepted clinical criteria for Kawasaki disease may not always identify patients with the pathologic findings of the syndrome who are younger than 6 months of age because of the confusing clinical presentation in three patients.
Incomplete Kawasaki disease with coronary artery involvement.
TLDR
It is suggested that children with prolonged unexplained febrile illnesses, especially those associated with subsequent peripheral desquamation, should undergo echocardiography 3 to 4 weeks after onset of the illness to identify those patients with illnesses characterized by incomplete diagnostic criteria but in whom significant coronary abnormalities develop.
[Kawasaki's disease. 3 problems: incomplete clinical forms, steroid treatment, low doses of aspirin].
TLDR
The authors point out that the treatment with low doses of salicylates selectively acting on thromboxane A2 and not on Pgl2, as shown in experimental studies, remains to be confirmed by clinical trials.
Kawasaki disease: echocardiographic features in 91 cases presenting in the United Kingdom.
TLDR
Selective coronary arteriography may be indicated in some patients to identify coronary artery stenosis, which the Japanese experience has shown may progress for several years after the acute illness.
Kawasaki disease: review of risk factors for coronary aneurysms.
Between June 1, 1979, and May 31, 1984, at The Hospital for Sick Children in Toronto, Kawasaki disease was diagnosed in 163 patients (112 boys, 51 girls, P less than 0.001). Fifteen percent of the
Outbreak of Kawasaki Syndrome in Finland
TLDR
During a ten‐month period from June 1981 to March 1982 83 patients with Kawasaki syndrome were diagnosed in Finland, the first reported outbreak outside Japan, Korea and the United States of America.
A new infantile acute febrile mucocutaneous lymph node syndrome (MLNS) prevailing in Japan.
TLDR
Recently, rickettsia-like bodies were found by electron microscopy in biopsy specimens from the skin and lymph nodes of the patients, leading us to believe that this clinical picture is a new clinical entity.
...
1
2
3
...