Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease

Gao, Yunxia; Zhang, Yifan; Lu, Fang Yuan; Wang, Xiaoyue; Zhang, Ming

doi:10.1097/md.0000000000010974

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Our fourth patient fulfilled both KD and MIS-C criteria and presented with several clinical characteristics of both diseases. Since no cardiac or coronary involvement, that could help in the differential diagnosis, was identified, a definite diagnosis was not possible [ 19 ]. Therefore, the patient was treated with IVIG, glucocorticoids, and aspirin, covering both KD and MIS-C possible diagnoses, and responded well to the therapy without any long-term sequelae (Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

Kostara,

Serbis,

Pavlou

et al. 2023

Cureus

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Kawasaki disease (KD) is an acute medium-vessel vasculitis, mainly affecting infants older than six months and children under five years. It predisposes to the development of coronary artery aneurysms and constitutes the leading cause of acquired heart disease in children. Its diagnosis is based on clinical criteria, namely, fever lasting for ≥ five days together with at least four of the five principal clinical features of the disease. Occasionally, children with KD present with fever, but they fulfill only some of the five principal criteria, and this is described as incomplete KD. Furthermore, "atypical" KD is a term that is usually used for cases that appear with rather unusual clinical manifestations, which complicate clinical judgment and may delay diagnosis and treatment. In this case series, we present four cases of KD with rather unusual clinical features: a five-year-old boy with lobar pneumonia, a six-year-old girl with orange-brown chromonychia appearing on the 10 th day of the disease, a 2.5-month-old infant with prolonged fever and urinary tract infection, and an 18-month-old infant with refractory KD and high suspicion of multisystem inflammatory syndrome in children (MIS-C). A literature review on the unusual manifestations of atypical KD was performed to identify clinical findings that must alert the clinician to consider this clinical entity.

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Section: Discussionmentioning

confidence: 99%

Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

Kostara,

Serbis,

Pavlou

et al. 2023

Cureus

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show abstract

“…Gao et al in 2018 reported a case of a girl with incomplete KD and reduced eye volume, cataracts, retinal detachment, choroid, and chorioretinal folds. 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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French national diagnostic and care protocol for Kawasaki disease

Galeotti

Bajolle

Belot

et al. 2023

La Revue de Médecine Interne

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Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease

Cited by 4 publications

References 11 publications

Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature

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

French national diagnostic and care protocol for Kawasaki disease

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