Atypical relapsing course of Kawasaki disease with hemorrhagic serous effusions and hepatic dysfunction.
Kawasaki disease (KD) is a multisystem vasculitis of childhood with cardiac, renal, pulmonary and neurological complications. Hemorrhagic serous effusions, liver dysfunction and relapsing course in spite of treatment are rare. We report an atypical case of KD with a relapsing course, hemorrhagic effusions and hepatic dysfunction, that required two repeated courses of intravenous immunoglobulin (IVIG) and methylprednisolone.
Elizabeth
K E
KE
Department of Pediatrics and Division of Pediatric Cardiology, SAT Hospital. Govt. Medical College, Thiruvananthapuram, Kerala, India. elizake@hotmail.com
Ahamed
M Zulfikar
MZ
Praveen
K S
KS
D002675:Child, Preschool; D005260:Female; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D017093:Liver Failure / Q000209:etiology*; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010996:Pleural Effusion / Q000209:etiology*