Incidence and clinical features of incomplete Kawasaki disease

@article{Fukushige1994IncidenceAC,
  title={Incidence and clinical features of incomplete Kawasaki disease},
  author={Jun'ichiro Fukushige and Noboru Takahashi and Yoshiharu Ueda and K. Ueda},
  journal={Acta P{\ae}diatrica},
  year={1994},
  volume={83}
}
During the nine‐year period from 1983 to 1991, a total of 242 patients (142 males and 100 females) presenting with Kawasaki disease were seen at one hospital. Among them, 25 (10%) patients demonstrated incomplete Kawasaki disease and 17 of these 25 (68%) lacked two of the six principal symptoms of Kawasaki disease, with the most frequently missing symptoms being cervical lymphadenopathy and polymorphous exanthema. The typical laboratory features of Kawasaki disease, such as elevated erythrocyte… 
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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K awasaki disease (KD) is an acute febrile vasculitis of early childhood and is the most common cause of acquired heart disease in the pediatric population.' Since the etiology of KD is not known,
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Elevated transaminases and blood urea along with free fluid in abdomen was present in one case each and two patients had dilated coronaries that returned to normal on follow up.
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Diagnosis of incomplete Kawasaki disease
  • J. Yu
  • Medicine
    Korean journal of pediatrics
  • 2012
Several authors suggested that the clinical characteristics of incomplete presentation of Kawasaki disease are similar to those of complete presentation and that the 2 forms of presentation are not
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References

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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.
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TLDR
Measles and streptococcal infection should be excluded in patients examined for possible Kawasaki disease (KD), and laboratory studies that may be useful in discriminating patients with KD from those with alternative diagnoses include hemoglobin concentration, erthyrocyte sedimentation rate, and serum alanine aminotransferase activity.
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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.
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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.
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TLDR
To define the pathological features of Kawasaki disease in the healed stage (over 40 days of illness), 69 autopsied infants with clinically typical KD and atypical KD were examined.
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TLDR
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TLDR
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TLDR
It is concluded that high-dose intravenous gamma globulin is safe and effective in reducing the prevalence of coronary-artery abnormalities when administered early in the course of Kawasaki syndrome.
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TLDR
In children with acute Kawasaki disease, a single large dose of intravenous gamma globulin is more effective than the conventional regimen of four smaller daily doses and is equally safe.
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