مشخصات پژوهش

صفحه نخست /Kawasaki disease presenting ...
عنوان
Kawasaki disease presenting as oculoglandular syndrome: Accidental concurrence or something beyond that?
نوع پژوهش مقاله چاپ شده
کلیدواژه‌ها
Kawasaki disease,conjunctivitis, lymphadenopathy
چکیده
Introduction: Kawasaki disease (KD) is an acute febrile illness of childhood and can lead to significant coronary arteries abnormalities particularly in untreated patients. Diagnosis of KD is made in presence of its standard criteria that bilateral conjunctivitis is one of them . Some patients do not fulfill diagnostic criteria and are known as atypical KD. Case Presentation: In this report, we describe a 12 years old boy presented with prolonged fever, unilateral conjunctivitis and ipsilateral preauricular lymphadenopathy, skin rashes and finger scaling. The initial evaluation for KD was negative. So he received gentamycin as a case of oculoglandular syndrome. The fever subsided but he developed bilateral conjunctivitis later in course of the disease. Second echocardiography revealed coronary artery dilation. He immediately received Intravenous immunoglobulin (IVIG) and aspirin and discharged from hospital with recommendation to close follow up. Conclusions: To our knowledge, KD presenting with unilateral conjunctivitis and oculoglandular syndrome is not reported to date. And given that delay in diagnosis and treatment of KD can cause serious cardiac complications, the diagnosis of Kawasaki disease should be considered in such cases.
پژوهشگران ایرج صدیقی (نفر اول)، مهرناز الفت (نفر دوم)