Transient dilatation of the abdominal aorta in an infant with Kawasaki disease associated with thrombocytopenia

  title={Transient dilatation of the abdominal aorta in an infant with Kawasaki disease associated with thrombocytopenia},
  author={Toshiharu Miyake and Tatuo Yokoyama and Tohru Shinohara and Shiro Seto and Motoko Oiki},
  journal={Pediatrics International},
We report on an 8 month old infant with Kawasaki disease associated with giant coronary aneurysms and transient thrombocytopenia. The patient's platelet count decreased to 24000/mm3 on the 31st day of illness and fibrin degradation product was 5 μg/mL. Platelet count increased to the normal level (357000/mm3) on the 35th day of illness. On the 27th day of illness, dilatation of the distal abdominal aorta adjacent to the bifurcation of the iliac arteries was observed by B‐mode and color Doppler… 
Enfermedad de Kawasaki: un caso con pseudo-obstrucción intestinal y aneurisma gigante
A rare association of Kawasaki disease in a two year old boy presenting with fever, a morbiliform rash and clinical signs of intestinal pseudo-obstruction and a giant aneurysm of the right coronary artery complicated with thrombosis is presented.
The pathology of large-vessel vasculitides.
This review focuses on morphologic aspects of large-vessel vasculitis pathology associated with giant cell arteritis, Takayasuarteritis, idiopathic or isolated aortitis, lymphoplasmacytic thoracic and ascending aortsitis, and the inflammatory aneurysm/retroperitoneal fibrosis syndrome.
Prospective study of Kawasaki disease complications: review of 115 cases.
The earlier the diagnosis and therapeutic intervention with IV IgG administration are, the lower the occurrence of complications; the presence of thrombocytosis, anemia and elevated and extended inflammatory activity are risk factors for complication arising.
Surgical treatment of abdominal aortic aneurysms in infancy and early childhood.
Successful surgical treatment of AAAs in infants and young children requires careful execution of a diverse group of surgical techniques based on the etiology, the child's size and growth potential, and the aneurysm's location and coexisting branch involvement.
Role of Interleukin-1 Signaling in a Mouse Model of Kawasaki Disease–Associated Abdominal Aortic Aneurysm
It is discovered that in addition to aortitis, coronary arteritis and myocarditis, the LCWE-induced KD mouse model is also associated with abdominal aorta dilatation and AAA, as well as renal and iliac artery aneurysms including AAA that maybe seen in severe cases of KD.
Kawasaki disease: pathophysiology and insights from mouse models
Kawasaki disease is an acute febrile illness and systemic vasculitis of unknown aetiology that predominantly afflicts young children, causes coronary artery aneurysms and can result in long-term
Les aortites inflammatoires
Les risques evolutifs La maladie de Takayasu se distingue par une evolution stenosante des lesions aortiques, whereas l’insuffisance aortique est une complication frequente des aortites inflammatoires.
Estudo prospectivo das complicações da Doença de Kawasaki: análise de 115 casos
A DK pode evoluir com complicacoes diversas, mesmo meses apos a fase aguda da doenca, eventualmente resultando em sequelas permanentes.
Kawasaki’s Disease


Kawasaki disease presenting with thrombocytopenia.
The case of a child with Kawasaki disease who manifested thrombocytopenia during the first week of her illness is reported, and throat, blood, and urine cultures obtained at this visit revealed no growth of bacterial pathogens.
Kawasaki disease with thrombocytosis followed by thrombocytopenia purpura in the same patient.
A 9-year-old boy was in excellent health until he presented with an erythematous rash and spiking fever of six days' duration, arthralgias involving his hips and ankles, headache, and sore throat, and he was transferred to the hospital with high intermittent fever.
Atypical Kawasaki disease: coronary aneurysms and thrombocytopenia.
Echocardiography should be considered in febrile infants with thrombocytopenia of uncertain etiology after a nonspecific febRIle illness not meeting the classic clinical criteria.
Disseminated intravascular coagulation as a complication of abdominal aortic aneurysm repair.
A retrospective review was done of patients undergoing surgical repair of abdominal aortic aneurysm on whom coagulation studies were obtained, suggesting a higher incidence of DIC than has previously been appreciated in both the emergency and elective repair of AAA.
Clinical spectrum of Kawasaki disease in infants younger than 6 months of age.
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.
Disseminated intravascular coagulation caused by abdominal aortic aneurysm.
A case of DIC caused by an abdominal aortic aneurysm is reported, with resolution after surgical treatment, and Heparin can be a useful adjunct in preoperative management.
Preoperative disseminated intravascular coagulation associated with aortic aneurysms. A prospective study of 76 cases.
Hemostatic abnormalities, such as ecchymoses and petechiae, may be the key to the clinical diagnosis of DIC in preoperative patients with aortic aneurysms.
Thrombocytopenia Possibly Caused by Structurally Related Third-Generation Cephalosporins
This report does not completely document that two third-generation cephalosporins caused platelet counts to fall <100 × 109/L in the patient described but there was no other explanation available; this was not considered to be safe in this patient.
A Case
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A case of Kawasaki disease associated with disseminated intravascular coagulation
  • 1990