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Rev Alerg Mex. 2017 Jul-Sep;64(3):376-380.

[Neurological manifestations in atypical Kawasaki disease].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Instituto Nacional de Pediatría, Departamento Inmunología, Ciudad de México, México. dr.edgar.mart78@gmail.com.

Abstract

in English, Spanish

BACKGROUND:

Kawasaki disease (KD) is a type of systemic vasculitis of unknown etiology. Atypical Kawasaki disease is defined as that where there are signs and symptoms not corresponding to the classical criteria for this nosological entity. Children with atypical Kawasaki disease may present with acute abdominal symptoms, meningeal irritation, pneumonia or renal failure.

CLINICAL CASES:

We describe 4 children with ages ranging from 2 to 12 years who had atypical Kawasaki disease, with neurological and gastrointestinal symptoms as part of the systemic presentation of the disease. Treatment consisted of immunoglobulin and corticosteroids with good evolution.

CONCLUSIONS:

KD is a systemic vasculitis that can involve many territories. Atypical manifestations can mislead the clinician and delay diagnosis. Pediatricians and sub-specialists should be aware of these neurological manifestations in order to provide adequate and opportune treatment.

KEYWORDS:

Ataxia; Atypical Kawasaki disease; Hydrops; Kawasaki disease; Pancreatitis gallbladder; Seizures

PMID:
29046034
DOI:
10.29262/ram.v64i3.231
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