Kawasaki disease: Evaluation of 13 cases
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 1
Abstract
Objective: Kawasaki disease is a vasculitis that rarely diagnosed in our country. In this study, it was aimed to evaluate clinical and laboratory findings and outcome in 13 children with Kawasaki disease. Materials and methods: Diagnosis of Kawasaki disease was done based on its diagnostic criteria. Biochemical tests and complete blood count were performed and acute phase reactants were measured. Urinalysis and infection investigations were also done. Echocardiography was performed to all patients. Intravenous immunoglobulin (IVIG, 2 g/kg) was given and acetylsalicylic acid (100 mg/kg) was started to all patients. Results: Eight male and 5 female children were included. The mean age 3.3±1.6 years (range 1.5-7) and 12 children were under 5 years of age. The mean diagnosis delay duration was 14.2±10.6 days, median 14 days (range, 6-35) before admission to our hospital. There was high fever in all patients, rash on body in 11/13 patients, lymphadenopathy in 9/13, desquamation at hand and feet in 5/13, conjunctivitis and oral mucosal changes in 5/11. Arthritis was found in 5/13, and convulsion and respiratory distress in one each. Dilatation was found in main coronary artery in 5/13 patients by echocardiography. Intravenous immunoglobulin (IVIG) and acetylsalicylic acid were given to all patients. Fever and other clinical and laboratory abnormalities were healed in patients; however, coronary artery dilatation was persisted in two patients despite IVIG treatment. Conclusion: Diagnostic delay was frequently in Kawasaki disease due to rarity of the disease and coronary artery dilatation may not be healed always. Key words: Kawasaki disease, fever, vasculitis, coronary artery dilatation, IVIG treatment
Authors and Affiliations
Aydın Ece, Ali Güneş, İlhan Tan, Ünal Uluca, Selvi Kelekçi, Servet Yel, Velat Şen
Keywords
Related Articles
- EP ID EP93207
- DOI doi: 10.5798/diclemedj.0921.2013.01.0231
- Views 150
- Downloads 0
Nadir bir neonatal menenjit etkeni: Grup A streptokok
Grup A streptokoklar neonatal menenjitin oldukça nadir etkenlerindendir. Biz literatür ışığında A grubu beta hemolitik streptokokun neden olduğu bir yenidoğan menenjit olgusunu tartıştık. Daha önce sağlıklı olan 24 gü...
Warthin-like papillary thyroid carcinoma: A rare tumor of the thyroid
Warthin-like papillary thyroid carcinoma is a rare variant of papillary thyroid carcinoma with favorable prognosis. The tumor is named “Warthin-like papillary thyroid carcinoma” because of bearing a striking morphologica...
Postmenopozal kadınlarda serum vitamin D düzeyi ve kemik mineral yoğunluğunun denge ve düşme riski üzerine etkisi
Amaç: Bu çalışmanın amacı postmenopozal kadınlarda kemik mineral yoğunluğu ve vitamin D düzeyinin birlikte ve ayrı ayrı denge ve düşme riski üzerine etkisini araş- tırmaktır. Yöntemler: Çalışmaya yaşları 44 i...
Perkütan mitral balon valvüloplasti kısa dönem takip sonuçları: Tek merkez deneyimi
Amaç: Bu çalışmada kliniğimizdeki romatizmal mitral darlıklı (MD) erişkin hastalara uygulanan perkütan mitral balon valvüloplastinin (PMBV) erken dönem klinik, ekokardiyografik ve hemodinamik sonuçlarını değerlendirme...
Akromegalinin nadir bir nedeni: McCune-Albright sendromu
McCune-Albright sendromu, poliostotik fibröz displazi, deride kahverenginde lekelenme (Cafe au lait lekeleri) ve otonomik endokrin hiperfonksiyon ile karakterize bir sendromdur. Bu sendromda yaygın olarak erken puberte v...