title: Recurrent Kawasaki disease presenting as acute airway obstruction.
abstract: Kawasaki disease is a common paediatric vasculitide. It is usually diagnosed by its classical constellation of mucocutaneous signs. Recurrent Kawasaki disease is a rare phenomenon that occurs in approximately 3% of all patients diagnosed with Kawasaki disease. Its presentation is usually similar to the first episode of Kawasaki disease, and early diagnosis with prompt treatment is key in preventing associated cardiovascular morbidities. Recurrent Kawasaki disease is not well reported, and atypical presentations have not been previously reported in medical literature. Here, we report the case of a young girl with recurrent Kawasaki disease who presented atypically with acute airway obstruction secondary to retropharyngeal phlegmon.
authors.affiliation: Department of Otolaryngology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. henry.tan.kk@kkh.com.sg.
authors.forename: Xinyin Anna
authors.initials: XA
authors.lastname: See
authors.forename: Vijay
authors.initials: V
authors.lastname: Prakash
authors.forename: Kun Kiaang Henry
authors.initials: KK
authors.lastname: Tan
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis; D009333:Neck; D012008:Recurrence; D014057:Tomography, X-Ray Computed