Kawasaki disease--diagnostic difficulties.
The Kawasaki disease is a systemic vasculitis in the childhood, described for the first time in 1967 in Japan. Although it is rare, the disease has worldwide distribution. Most of the patients are between 1 and 5 years of age. The onset is rapid, with high fever up to 40 degrees C, which lasts for more than 5 days. There are changes in the lingual, buccal and pharyngeal mucosa. Diffuse rash--mostly rubella-like, but never vesiculous may be present. Non-purulent, usually cervical lymphadenitis is present. The complications are mainly from the cardiovascular system: myocardial ischemia, aneurysm formation due to thrombosis, etc. The mortality is 1-2%. We present a case of Kawasaki disease in early childhood that kas caused diagnostic difficulties during the management and treatment.
Boyanova
Andriana
A
Toxicology Clinic, Emergency Medicine Institute Pirogov, Sofia, Bulgaria. abojanova@abv.bg
Hubenova
Aneta
A
D002675:Child, Preschool; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy*
D007070:Immunoglobulin A; D007074:Immunoglobulin G; D007075:Immunoglobulin M