Adult Kawasaki Disease

Franco, J. Campos; Lopez, Raimundo; Alende, Rosario; Gonzalez-Quintela, Arturo

doi:10.2169/internalmedicine.50.5344

Cited by 5 publications

(10 citation statements)

References 2 publications

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“…According to a review in 2011, 91 cases of adult KD had been described until that time [ 5 ]. Eight more cases have been added to the medical literature since then [ 6 - 13 ]. To the best of our knowledge, our case is the 100th one.…”

Section: Introductionmentioning

confidence: 99%

“…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%

“…Mild renal failure, dysuria [ 6 ], as well as sterile leucocytosis in urine analysis [ 11 , 15 ] can be manifestations of renal involvement in KD.…”

Section: Introductionmentioning

confidence: 99%

“…The upper and lower intestinal tract are involved in KD as well. Nausea [ 2 , 6 , 32 , 37 , 39 , 41 , 43 , 48 , 49 , 55 , 56 , 58 ], vomiting [ 6 , 35 , 37 , 39 - 41 , 43 , 44 , 55 ], stomach cramps [ 48 ], epigastric pain [ 47 , 49 ], dysphagia [ 34 , 40 , 51 ], abdominal pain [ 39 , 40 , 51 , 58 ], abdominal tenderness [ 49 ], abdominal distension [ 47 ], and diarrhoea [ 32 , 39 - 41 , 47 - 49 ] are the main symptoms and signs.…”

Section: Introductionmentioning

confidence: 99%

“…Lymphadenopathy is often observed in KD. It may be mainly cervical [ 2 , 6 , 8 , 10 , 12 , 13 , 32 - 34 , 36 , 37 , 39 , 40 , 42 , 44 , 46 - 52 , 55 - 58 ], but also axillary [ 33 , 36 , 40 ], inguinal [ 40 , 59 ] or diffuse [ 38 , 41 , 43 , 45 , 54 ].…”

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%

“…Mild renal failure, dysuria [ 6 ], as well as sterile leucocytosis in urine analysis [ 11 , 15 ] can be manifestations of renal involvement in KD.…”

Section: Introductionmentioning

confidence: 99%