Abstract
BackgroundKawasaki disease (KD) without affection of the coronary artery system is rare. Optic nerve pathology together with KD has not been described earlier.Case presentationWe present one case of KD in a 12-year-old girl predominantly with prolonged cholestasis, and a second case of multiple recurrent KD in a 9-year-old boy with hepatomegaly and ischemic optic nerve neuropathy. The coronary artery system was not involved in either case.ConclusionsKD warrants rapid diagnosis and immediate specific treatment in order to prevent the high risk of coronary artery aneurysm and stenosis.
Highlights
Kawasaki disease (KD) without affection of the coronary artery system is rare
Case 1 A 12-year-old girl presented with a 6-day history of subfebrile temperature, generalized lymphadenitis, fatigue and inappetence
The examination for an autoimmunologic disease was negative. In both exposed cases, KD was strongly suggested at admission
Summary
Various manifestations of Kawasaki disease (KD) occur at an early age. When the hepatobiliary tract is primarily affected, the diagnosis relies mainly on symptoms, ultrasonography and laboratory parameters of systemic vasculitis. Incomplete and atypical cases are difficult to detect. Rapid diagnosis and treatment are crucial, as 4 % of KD patients develop coronary artery (CA) involvement [1]
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