Incomplete Kawasaki Disease in a Child with COVID-19

The JANUS of chronic inflammatory and autoimmune diseases onset during COVID-19 – A systematic review of the literature

“… Patients number (confirmed/non confirmed SARS-CoV-2 infection) Sex Mean or median age (months/years) Manifestations Treatment Outcome Ref. 1 (confirmed) F 6m Complete KD ASA, IVIg Recovered [ 169 ] 1 (confirmed) M 5y Atypical KD ASA IVIg glucocorticoids Recovered [ 170 ] 1 (confirmed) M 8y Complete KD, shock ASA, IVIg, TCZ Recovered [ 171 ] 1 (confirmed) M 4m Complete KD ASA IVIg Recovered [ 172 ] 8 (2 confirmed) 5 M 3F 8.8y Atypical KD, shock, toxic shock syndrome symptoms 8 IVIg, + ASA in 6, glucocorticoids in 5 1 Death 7 Recovered 1 Coronary aneurysm [ 65 ] 4 (all confirmed) 3 M 1F 10y Atypical KD, shock 1: IVIg, TCZ, anakinra 2: IVIg, TCZ 3: IVIg, TCZ 4: TCZ 2 Coronary artery abnormalities final outcome unknown [ 173 ] 10 (8 confirmed) 7 M 3F 7.5y …”

How to deal with coronavirus disease 2019: A comprehensive narrative review about oral involvement of the disease

“…Furthermore, a case report from the United States described a 5‐year‐old patient, diagnosed with incomplete Kawasaki associated with fever (up to 39.4°C for 8 days), dry, cracked and erythematous lips, non‐exudative conjunctivitis and bilateral cervical lymphadenopathy without skin rash (Rivera‐Figueroa et al, 2020).…”

Fin del confinamiento y enfermedad similar a Kawasaki en niños: a propósito de COVID-19

“…Riphagen et al [7] Reino Unido Serie de casos Rivera et al [20] Reino Unido Toubiana et al [3] Francia Serie de casos Toubiana et al [16] Francia Serie de casos Verdoni et al [17] Italia Serie de casos Whittaker et al [18] Reino Unido Serie de casos 58 9 (5,(7)(8)(9)(10)(11)(12)(13)(14) 33 (57,0) Fiebre, rash, conjuntivitis, cambios en las cavidad oral y labios, linfadenopatía.…”

“…Hubo un total de 364 casos reportados, las edades de los pacientes se encontraban entre los 6 meses y los 16,6 años. Entre las características clínicas halladas se destacaron fiebre [6][7][8][9][10][11][12][13][14][15][16][17][18] , eritema no pruriginoso [14] , sarpullido con manchas [9,[10][11][12][13]15,16,18,19] , labios secos y agrietados [3,[7][8][9][10][11]15,[17][18][19][20] y linfadenopatía cervical [3,11,12,[15][16][17][18][19][20] . El tratamiento común fue la inmunoglobulina y el ácido acetilsalicílico.…”