Recurrent refractory Kawasaki disease

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Recurrent refractory Kawasaki disease

Case report A 3 year old boy presented with 3 days of fever, rash, pharyngeal and gingival erythema, and swollen extremities. Laboratory investigations revealed leukocytosis, C– reactive protein 25.8 mg/dl, and erythrocyte sedimentation rate 100 mm/hr. Echocardiography disclosed diffuse dilatation of all proximal coronary arteries. The child received IVIG (2g/kg) and aspirin (100 mg/kg/d) with ...

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Recurrent Kawasaki disease.

BACKGROUND Recurrent Kawasaki disease is rare. CASE CHARACTERISTICS An eight-month old infant had classic Kawasaki disease with transient coronary artery dilatation. OBSERVATIONS Recurrence of incomplete Kawasaki disease after two years of initial diagnosis. OUTCOME The index episode of Kawasaki disease was resistant to single infusion of immunoglobulin, while repeat episode responded wit...

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Atypical Kawasaki disease presenting as refractory pneumonia.

Despite its importance, a timely diagnosis of KD is often a challenge because it still relies on non-specific clinical signs, and no definite laboratory tests have yet been identified. Diagnosis of KD can be even more difficult in patients who do not fulfill the diagnostic criteria. A clinical presentation with less than the required criteria for KD and/or unusual clinical features (“incomplete...

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Predicting Factors for Refractory Kawasaki Disease

BACKGROUND AND OBJECTIVES About 10-15% of Kawasaki disease (KD) is refractory to intravenous immunoglobulin (IVIG) therapy. This study was designed to investigate the predicting factors for refractory KD. SUBJECTS AND METHODS We reviewed retrospectively the clinical records of 77 patients with typical KD admitted at Wonju Christian Hospital from January, 2005, to December, 2008. The variance ...

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Recurrent Kawasaki disease: USA and Japan.

BACKGROUND Descriptive epidemiologic studies of recurrent and non-recurrent Kawasaki disease (KD) may identify other potentially important differences between these illnesses. METHODS Data from the USA and Japan, the Centers for Disease Control and Prevention (CDC) national KD surveillance(1984-2008) and the 17th Japanese nationwide survey (2001-2002), respectively, were analyzed to examine r...

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ژورنال

عنوان ژورنال: Pediatric Rheumatology

سال: 2011

ISSN: 1546-0096

DOI: 10.1186/1546-0096-9-s1-p98