Incomplete Kawasaki Disease

Main Article Content

Javier Yesid Pinzón Salamanca
Rocio Del Pilar Pereira Ospina
José Miguel Suescún Vargas

Abstract

Background: Kawasaki disease (KD) is a systemic vasculitis, self-limited which etiology is not well clarified. There is no specific diagnostic test therefore the diagnostic criteria are used.


Case summary: We report a case of a four months’ infant with incomplete Kawasaki disease (iKD) whose diagnosis required a comprehensive clinical and laboratory evaluation, because it didn't fulfill criteria of a typical case.


Conclusion: This case illustrates the importance of early diagnosis of KD and shows others symptoms that could accompany this entity. It requires a high level of suspicion to make an accurate diagnosis as soon as possible.

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How to Cite
Pinzón Salamanca, J. Y., Pereira Ospina, R. D. P., & Suescún Vargas, J. M. (2018). Incomplete Kawasaki Disease. Pediatría, 51(2), 40–42. https://doi.org/10.14295/pediatr.v51i2.97
Section
Case report

References

1. Bayers S, Shulman ST, Paller AS. Kawasaki disease: Part I. Diagnosis, clinical features, and pathogenesis. J Am Acad Dermatol. 2013;69(4):501.e1-501.e11.

2. Wood LE, Tulloh RMR. Kawasaki disease in children. Heart. 2009;95(10):787-92.

3. Singh S, Jindal AK. Fifty Years of Kawasaki Disease - A Tribute to Dr Tomisaku Kawasaki. Indian Pediatr. 2017 dic.;54(12):1037-9.

4. Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: A statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2004;110(17):2747-71.

5. Dietz SM, van Stijn D, Burgner D, Levin M, Kuipers IM, Hutten BA, et al. Dissecting Kawasaki disease: a state-of-the-art review. Eur J Pediatr. 2017 Aug;176(8):995-1009.

6. Baquero R, Tuesca R, Muñoz C, Pérez J, Molina T, Bustamante MC. Enfermedad de Kawasaki en niños hospitalizados en cinco centros de Barranquilla, Colombia, 2002-2008. Infectio. 2010;14(2):143-9.

7. Sánchez-Manubens J, Bou R, Anton J. Diagnosis and classification of Kawasaki disease. J Autoimmun. 2014;48-49:113-7.

8. Garc P, Losada JV. Abdomen agudo como manifestación inicial de enfermedad de Kawasaki incompleta y atípica . Caso clínico. 2015;113(2):88-93.

9. Newburger JW. Kawasaki disease: Medical therapies. Congenit Heart Dis. 2017 sept.;12(5):641-3.

10. Taubert KA, Rowley AH, Shulman ST. Nationwide survey of Kawasaki disease and acute rheumatic fever. J Pediatr. 1991 ag.;119(2):279-82.

11. McCrindle BW, Rowley AH, Newburger JW, Burns JC, Bolger AF, Gewitz M, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association. Circulation. 2017 abr.;135(17):e927-99.

12. Minich LL, Sleeper LA, Atz AM, McCrindle BW, Lu M, Colan SD, et al. Delayed diagnosis of Kawasaki disease: what are the risk factors? Pediatrics. 2007 dic.;120(6):e1434-40.

13. McCrindle BW, Li JS, Minich LL, Colan SD, Atz AM, Takahashi M, et al. Coronary artery involvement in children with Kawasaki disease: risk factors from analysis of serial normalized measurements. Circulation. 2007 jul.;116(2):174-9.