A case of Kawasaki disease complicated with retinal vasculitis

Suganuma, Eisuke; Kambe, Tomoka; Sato, Satoshi; Hamamoto, M.; Kawano, Yutaka

doi:10.1111/ped.13938

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…The fundal findings in KD have not been fully examined in the currently available English literature, probably because of technical problems with examining infants/young children (usually younger than MIS-C patients). Posterior involvement in KD is rare and is usually limited to case reports ( 13 ). Similarly, fundus findings in MIS-C are scarce in the literature, but some reports have demonstrated normal findings, as described in this case ( 6 , 7 , 9 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Anterior Scleritis Presenting as a Primary Ocular Manifestation in Multisystem Inflammatory Syndrome in Children With COVID-19

et al. 2022

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Multisystem inflammatory syndrome in children (MIS-C) is a newly defined hyperinflammatory disease linked to antecedent coronavirus disease 2019. Patients with MIS-C present with various symptoms, and ocular findings such as mild bilateral conjunctivitis are relatively common. However, detailed descriptions of severe ocular reports associated with MIS-C are scarce in the current literature. Here we report a case of MIS-C in a Japanese boy, with severe eye manifestations in the form of anterior scleritis as the primary MIS-C symptom. Detailed ocular examinations by ophthalmologists may be key for clarifying the pathophysiology of MIS-C.

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Section: Discussionmentioning

confidence: 99%

Case Report: Anterior Scleritis Presenting as a Primary Ocular Manifestation in Multisystem Inflammatory Syndrome in Children With COVID-19

et al. 2022

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“…Besides IVIG, she was treated with eye steroids and had total recovery within one month [ 7 ]. More recently, Suganuma et al described a seven-year-old boy who developed retinal vasculitis with impairment of visual acuity, and also refer to the only three reports in the literature with long-term visual impairment due to KD [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease

Montenegro-Villalobos

Miranda-Jiménez²,

Ávila-Agüero

et al. 2020

Cureus

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Kawasaki disease is an acute systemic vasculitis and is the leading cause of acquired cardiac disease in children. Among the ocular manifestations in these patients, bilateral non-suppurative conjunctival injection and uveitis are the most common. We describe a six-year-old Costa Rican girl with acute Kawasaki disease who developed severe bilateral conjunctival injection with subsequent bilateral subconjunctival hemorrhages. For her ocular involvement, she was treated expectantly, and after six weeks there was complete resolution. To our knowledge, this is the first report from Latin America and among the few in the literature of a child in whom severe bilateral subconjunctival hemorrhages occur as a manifestation of Kawasaki disease.

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“…There are a few case reports of ophthalmic complications of KD, including retinitis, uveitis, and keratitis [8,14,15]. In one case report, photophobia and blurred vision developed three weeks after KD and was diagnosed as crystalline-like keratopathy and interpreted as a complication of IVIG administration [16].…”

Section: Ophthalmic Complicationsmentioning

confidence: 99%

Non-cardiac sequelae of Kawasaki Disease. The survey study of 90 cases and literature review

Okarska-Napierała,

Zacharzewska,

Smyk

et al. 2023

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Introduction and objectiveThe best-known long-term complications of Kawasaki Disease (KD) are coronary artery aneurysms. However, there are numerous case reports about other unusual chronic complications. These data are only anecdotal, and more systematic observation is missing. We aimed to detect and describe chronic non-cardiac complications of KD.Material and methodsWe surveyed parents of children with KD diagnosed between 2014 and 2019 by phone with the use of standardized questionnaire. Clinical data about the acute phase of the disease, treatment, outcome, and symptoms and signs observed within three months since KD diagnosis were recorded from the caregivers. We recruited children from 3 children’s hospitals in Warsaw and a support group on social media.ResultsNinety children met the inclusion criteria. Parents of 30 children (33%) reported some neurologic sequelae, with persistent irritability being the most common, followed by sleep disturbances, aggression, and chronic fatigue. Seventeen children (19%) suffered either arthralgia or unspecific pain in the upper and lower extremities. In nine children (10%), either atopic or seborrheic dermatitis began shortly after KD. Five children (6%) presented with ophthalmic complications.ConclusionsVarious unspecific complications may emerge after the acute phase of KD. Although correlation does not imply causation, and possible explanations of observed abnormalities are numerous, our data may enhance clinicians’ awareness of frequent and poorly understood findings observed after KD in children. It also might help reassure parents that what they observe lies within a range of common and usually transient KD sequelae.

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A case of Kawasaki disease complicated with retinal vasculitis

Cited by 4 publications

References 5 publications

Case Report: Anterior Scleritis Presenting as a Primary Ocular Manifestation in Multisystem Inflammatory Syndrome in Children With COVID-19

Case Report: Anterior Scleritis Presenting as a Primary Ocular Manifestation in Multisystem Inflammatory Syndrome in Children With COVID-19

Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease

Non-cardiac sequelae of Kawasaki Disease. The survey study of 90 cases and literature review

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