title: A 5-year-old boy with only fever and giant coronary aneurysms: the enigma of Kawasaki disease?
abstract: Epidemiological case definition of Kawasaki disease (KD) by the American Heart Association requires the presence of fever and four of the following: eye signs, oral mucosal changes, skin rashes, limb edema, and unilateral cervical lymphadenopathy. Incomplete KD is a well-known entity where there is lack of some of mucocutaneous features, and this occurs more often in infants. We report a 5-year-old boy with KD and giant coronary aneurysms, who presented only with fever and there is complete lack of skin and mucosal manifestations at presentation.
authors.affiliation: Paediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. vigimmc@gmail.com.
authors.forename: Pandiarajan
authors.initials: P
authors.lastname: Vignesh
authors.affiliation: Paediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
authors.forename: Sagar
authors.initials: S
authors.lastname: Bhattad
authors.affiliation: Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
authors.forename: Manphool
authors.initials: M
authors.lastname: Singhal
authors.affiliation: Paediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
authors.forename: Surjit
authors.initials: S
authors.lastname: Singh
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use; D002675:Child, Preschool; D000072226:Computed Tomography Angiography; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D005334:Fever / Q000209:etiology*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D000069285:Infliximab / Q000627:therapeutic use; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D018501:Antirheumatic Agents; D016756:Immunoglobulins, Intravenous; D000069285:Infliximab
keywords: Giant coronary aneurysms; Kawasaki disease; Paucity of signs