A Case of Atypical Kawasaki Disease With Myositis.

Abstract

Summary of Clinical Presentations and Relevant Investigation Findings in Previously Reported Cases of Kawasaki Disease With Myositis.TitleAuthor, Journal, Year Clinical PresentationRelevant Investigation Findings ConclusionMyositis in Kawasaki disease 8 Gama et al, Pediatr Neurol , 19908-Year-old boy, previously well, presented with clinical features of KD, diffused peripheral weakness, and respiratory failure•• CK: 1509 to 2657 IUMyositis is one of several neurological complications encountered in KD. The degree of CK elevation may be useful in predicting the severity of myopathy.•• EMG: myopathic pattern •• Muscle biopsy: atrophy and degenerationA case of polymyositis associated with Kawasaki disease 9 Sugie et al, Brain Dev , 19853-Year-old boy, previously well, was diagnosed with KD, and developed painful proximal muscle weakness in all extremities•• CK: 152 IU Polymyositis might be a complication of KD. Proximal muscle weakness suggests inflammatory myopathy, even if serum CK was not significantly elevated. •• EMG: myopathic change•• Muscle biopsy: mild architecture distortion, fiber atrophy, inflammatory cell infiltratesMyositis with Kawasaki’s disease