Kawasaki Disease With Coronary Involvement in Adults

Pérez-Rodón, Jordi; Aboal, Jaime; Morales, Manel; Masiá, Rafael

doi:10.1016/s1885-5857(07)60072-3

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Clinical and laboratory findings concerning liver inflammation are jaundice [ 32 , 40 , 48 , 49 ], hepatomegaly [ 15 , 32 , 50 ], right upper quadrant pain [ 32 , 39 ], cholestatic hepatitis [ 6 , 44 , 46 - 49 , 51 ], hepatic artery aneurysm [ 32 ], elevated aspartate and alanine aminotransferase levels [ 2 , 8 , 11 , 13 , 33 , 34 , 40 , 41 , 43 , 52 , 53 ] and low albumin levels [ 11 , 40 , 53 ].…”

Section: Introductionmentioning

confidence: 99%

“…The musculoskeletal system participates in the inflammatory process with various clinical representations: arthralgia of the big joints [ 2 , 34 , 40 - 43 , 46 , 48 , 49 , 51 , 55 , 58 ] or of the small ones [ 57 ], arthritis of the big joints [ 42 ], back pain [ 39 ], hand and foot pain [ 39 , 41 ], painful synovial thickening without effusion [ 32 ], joint effusion [ 2 ], joint pain with or without motion [ 2 , 44 ], joints tender to palpation [ 51 ], and myalgia [ 27 , 36 , 43 , 49 , 51 , 53 ].…”

Section: Introductionmentioning

confidence: 99%

“…By contrast, patients with large aneurysms (>6mm), regressed large ones or persistent small ones are at high risk for developing stenosis or ischemia. They should be put on strong anticoagulation therapy and lifelong follow-up [ 2 , 3 , 7 , 9 , 10 , 33 , 53 , 65 ]. These individuals have to be periodically tested with echocardiography, stress tests, computed tomography angiography or magnetic resonance imaging.…”

Section: Introductionmentioning

confidence: 99%

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Adult Kawasaki disease in a European patient: a case report and review of the literature

et al. 2015

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IntroductionKawasaki disease is an acute necrotising vasculitis of the medium- and small-sized vessels, occurring mainly in Japanese and Korean babies and children, aged 6 months to 5 years. Its main complication is damage of coronary arteries, which has the potential to be fatal. Here we report a rare case of Kawasaki disease that occurred in a 20-year-old Greek adult.Case presentationA 20-year-old Greek man presented with high fever, appetite loss, nausea and vomiting, headache and significant malaise. He had an erythema of the palms and strikingly red lips and conjunctiva. As he did not respond to broad-spectrum antibiotics and after having excluded other possible diagnoses, the diagnosis of Kawasaki disease was set. He was treated with intravenous immunoglobulin and oral aspirin on the 10th day since the onset of the illness. His clinico-laboratory response was excellent and no coronary artery aneurysms were detected in coronary artery computed tomography performed 1 month later.ConclusionsThis report of an adult case of European Kawasaki disease may be of benefit to physicians of various specialties, including primary care doctors, hospital internists, intensivists and cardiologists. It demonstrates that a case of prolonged fever, unresponsive to antibiotics, in the absence of other diagnoses may be an incident of Kawasaki disease. It is worth stressing that such a diagnosis should be considered, even if the patient is adult and not of Asian lineage.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adult Kawasaki disease in a European patient: a case report and review of the literature

et al. 2015

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“…Therefore all the patients should be followed up for the progress of these aneurysms. The most important predictor of subsequent myocardial infarction and other chronic sequelae is aneurysm size where giant aneurysms have a worse outcome as they do not regress and result in ischemic heart disease [11-12]…”

Section: Discussionmentioning

confidence: 99%

“…When it occurs clinical findings include an S3 or S4 gallop on physical examination, nonspecific ST-T changes, and cardiomegaly on a chest radiograph. The aortic and mitral valves are rarely involved [12,14]. Alves NR studied 115 patients with KD, 21.7% patients (n=25) had coronary aneurysm, 13.5% patients (n=15) had ophthalmic complications and 33% patients (n=38) had hearing loss.…”

Section: Discussionmentioning

confidence: 99%

An Adult Kawasaki Disease with Coronary Artery Involvement: A Unique Case Report and Literature Review

Faisaluddin¹,

Iftikhar²,

Khayyat³

et al. 2019

Cureus

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Kawasaki disease (KD) is an acute, febrile, vasculitis of mainly large to medium-sized vessels. KD is a self-limited illness of infancy and childhood and 80% of the patients are younger than four years of age with an incidence of 5.6/100,000 in the United States. We present an unusual case of an 18-year-old man with several unique features of KD. He was admitted to the hospital with fever, rash, and arthralgia for one week. KD was among the differentials for fever, rash, and arthralgia. Later all the laboratory diagnosis for bacterial and viral infections including blood and urine culture came out negative and he was further evaluated for KD with electrocardiography (EKG), echocardiography, and angiography which showed myocarditis. Based on typical features of fever, rash, arthralgia, bilateral conjunctival injection, cervical lymphadenopathy, and prominent tongue papillae he was diagnosed with KD.

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Maladie de Kawasaki de l’adulte

Sève

2011

La Revue de Médecine Interne

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Kawasaki Disease With Coronary Involvement in Adults

Cited by 3 publications

References 6 publications

Adult Kawasaki disease in a European patient: a case report and review of the literature

Adult Kawasaki disease in a European patient: a case report and review of the literature

An Adult Kawasaki Disease with Coronary Artery Involvement: A Unique Case Report and Literature Review

Maladie de Kawasaki de l’adulte

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