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Unusual imaging presentation of infantile atypical Kawasaki disease

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ABSTRACT

Kawasaki disease is a systemic medium vessel vasculitis of unknown etiology affecting children under 5 years of age. There are no specific diagnostic tests, and thus, the diagnosis of the disease is primarily made on the basis of clinical criteria. Unusual presentations of Kawasaki disease have been variably reported from different parts of the world. However, presentation of the disease in the form of peripheral thromboembolism and florid non-coronary aneurysms has rarely been described This report describes the imaging findings in infantile atypical Kawasaki disease with aneurysms of multiple medium-sized arteries, including coronary arteries, emphasizing the detection of clinically silent aneurysms in the disease.

No MeSH data available.


Related in: MedlinePlus

Color Doppler image shows non-thrombosed aneurysm of left subclavian artery (A) with partially thrombosed fusiform aneurysm of right subclavian artery (B)
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Figure 1: Color Doppler image shows non-thrombosed aneurysm of left subclavian artery (A) with partially thrombosed fusiform aneurysm of right subclavian artery (B)

Mentions: A 6-month-old male infant was brought to the emergency department with complaints of fever for 1 month, passage of dark stools for 1 week, and discoloration of upper extremity for 2 days. Parents also volunteered the history of fleeting maculo-papular rash. The child was referred for Doppler imaging (Philips HD 11 XE ultrasound machine, PHILIPS USA) of the upper extremity and sonography of the abdomen on emergent basis. Doppler USG showed partially thrombosed fusiform aneurysm of right subclavian artery, axillary artery, brachial artery, and non-thrombosed aneurysm of the right subclavian artery [Figure 1A and B].


Unusual imaging presentation of infantile atypical Kawasaki disease
Color Doppler image shows non-thrombosed aneurysm of left subclavian artery (A) with partially thrombosed fusiform aneurysm of right subclavian artery (B)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036337&req=5

Figure 1: Color Doppler image shows non-thrombosed aneurysm of left subclavian artery (A) with partially thrombosed fusiform aneurysm of right subclavian artery (B)
Mentions: A 6-month-old male infant was brought to the emergency department with complaints of fever for 1 month, passage of dark stools for 1 week, and discoloration of upper extremity for 2 days. Parents also volunteered the history of fleeting maculo-papular rash. The child was referred for Doppler imaging (Philips HD 11 XE ultrasound machine, PHILIPS USA) of the upper extremity and sonography of the abdomen on emergent basis. Doppler USG showed partially thrombosed fusiform aneurysm of right subclavian artery, axillary artery, brachial artery, and non-thrombosed aneurysm of the right subclavian artery [Figure 1A and B].

View Article: PubMed Central - PubMed

ABSTRACT

Kawasaki disease is a systemic medium vessel vasculitis of unknown etiology affecting children under 5 years of age. There are no specific diagnostic tests, and thus, the diagnosis of the disease is primarily made on the basis of clinical criteria. Unusual presentations of Kawasaki disease have been variably reported from different parts of the world. However, presentation of the disease in the form of peripheral thromboembolism and florid non-coronary aneurysms has rarely been described This report describes the imaging findings in infantile atypical Kawasaki disease with aneurysms of multiple medium-sized arteries, including coronary arteries, emphasizing the detection of clinically silent aneurysms in the disease.

No MeSH data available.


Related in: MedlinePlus