Atypical Kawasaki disease: coronary aneurysms and thrombocytopenia

The patient we have described had coronary artery aneurysms pathognomonic for Kawasaki disease after a nonspecific febrile illness not meeting the classic clinical criteria. The child had significant thrombocytopenia, which in the past has been thought to militate against the diagnosis of Kawasaki d...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 85; no. 1; p. 40
Main Authors Kinney, Jr, J B, Albano, E, Krober, M S, Stevenson, J G
Format Journal Article
LanguageEnglish
Published United States 01.01.1992
Subjects
Coronary Aneurysm - blood
Coronary Aneurysm - diagnosis
Coronary Aneurysm - etiology
Echocardiography
Female
Humans
Infant
Mucocutaneous Lymph Node Syndrome - blood
Mucocutaneous Lymph Node Syndrome - complications
Mucocutaneous Lymph Node Syndrome - diagnosis
Platelet Count
Thrombocytopenia - blood
Thrombocytopenia - diagnosis
Thrombocytopenia - etiology
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Summary:The patient we have described had coronary artery aneurysms pathognomonic for Kawasaki disease after a nonspecific febrile illness not meeting the classic clinical criteria. The child had significant thrombocytopenia, which in the past has been thought to militate against the diagnosis of Kawasaki disease. Echocardiography should be considered in febrile infants with thrombocytopenia of uncertain etiology.
ISSN:0038-4348
DOI:10.1097/00007611-199201000-00012