title: Cervical spine and temporomandibular joint arthritis in a child with Kawasaki disease.
abstract: Severe neck pain, stiffness, and torticollis in a child with Kawasaki disease commonly represent aseptic meningitis or lymphadenitis. Here we present an unusual case of severe cervical spine and bilateral temporomandibular joint arthritis in a 5-year-old boy with a relapse of Kawasaki disease and coronary artery ectasia. The patient had a favorable response to a second course of intravenous immunoglobulin G and indomethacin therapy, with complete resolution of his symptoms.
authors.affiliation: Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
authors.forename: Melinda
authors.initials: M
authors.lastname: Jen
authors.forename: Lauren A
authors.initials: LA
authors.lastname: Brucia
authors.forename: Avrum N
authors.initials: AN
authors.lastname: Pollock
authors.forename: Jon M
authors.initials: JM
authors.lastname: Burnham
mesh_terms: D001168:Arthritis / Q000188:drug therapy / Q000209:etiology*; D002574:Cervical Vertebrae; D002675:Child, Preschool; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D013122:Spinal Diseases / Q000188:drug therapy / Q000209:etiology*; D013705:Temporomandibular Joint Disorders / Q000188:drug therapy / Q000209:etiology*