Kawasaki disease. Atypical presentation in a pediatric patient

Kawasaki disease (KD) is a mucocutaneous syndrome characterized by vasculitis that affects medium vessels; its main manifestation is an acute febrile syndrome lasting at least five days and often of unknown etiology. It appears mainly in children under five years of age, it is considered to be frequ...

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Main Authors: Annet Ramos Plasencia, Bich Ngoc Vu Thi
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-11-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5802
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author Annet Ramos Plasencia
Bich Ngoc Vu Thi
author_facet Annet Ramos Plasencia
Bich Ngoc Vu Thi
author_sort Annet Ramos Plasencia
collection DOAJ
description Kawasaki disease (KD) is a mucocutaneous syndrome characterized by vasculitis that affects medium vessels; its main manifestation is an acute febrile syndrome lasting at least five days and often of unknown etiology. It appears mainly in children under five years of age, it is considered to be frequent, but there are underreportings. It is characterized by having two presentation forms: typical or atypical. The clinical case of a child who was hospitalized due to acute febrile syndrome associated with malaise and irritability is presented. The physical examination revealed discrete edema in the hands and feet as well as a rash, no hepatomegaly or ocular alterations. Taking into account the epidemiology, the atypical clinical picture and the results of hemochemical studies, the diagnosis of atypical Kawasaki disease was concluded. Specific treatment was imposed and a satisfactory evolution was achieved with no immediate complications. This nosological entity requires an adequate clinical-epidemiological evaluation of the patients, as well as a meticulous physical examination and an early diagnosis to achieve a favorable patients’ evolution and the absence of cardiac sequelae, which would endanger the patients’ life and/or their future quality of life.
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institution Kabale University
issn 1727-897X
language Spanish
publishDate 2023-11-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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spelling doaj-art-390d47360f894477b1c19e0d089a8cba2025-01-30T21:29:01ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-11-01216134513532403Kawasaki disease. Atypical presentation in a pediatric patientAnnet Ramos Plasencia0Bich Ngoc Vu Thi1Hospital Amistad Vietnam-Cuba. Provincia de Quang Binh. Đồng Hới.Viet Nam.Hospital Amistad Vietnam-Cuba. Provincia de Quang Binh. Đồng Hới.Viet Nam.Kawasaki disease (KD) is a mucocutaneous syndrome characterized by vasculitis that affects medium vessels; its main manifestation is an acute febrile syndrome lasting at least five days and often of unknown etiology. It appears mainly in children under five years of age, it is considered to be frequent, but there are underreportings. It is characterized by having two presentation forms: typical or atypical. The clinical case of a child who was hospitalized due to acute febrile syndrome associated with malaise and irritability is presented. The physical examination revealed discrete edema in the hands and feet as well as a rash, no hepatomegaly or ocular alterations. Taking into account the epidemiology, the atypical clinical picture and the results of hemochemical studies, the diagnosis of atypical Kawasaki disease was concluded. Specific treatment was imposed and a satisfactory evolution was achieved with no immediate complications. This nosological entity requires an adequate clinical-epidemiological evaluation of the patients, as well as a meticulous physical examination and an early diagnosis to achieve a favorable patients’ evolution and the absence of cardiac sequelae, which would endanger the patients’ life and/or their future quality of life.http://medisur.sld.cu/index.php/medisur/article/view/5802síndrome mucocutáneo linfonodularvasculitisniño
spellingShingle Annet Ramos Plasencia
Bich Ngoc Vu Thi
Kawasaki disease. Atypical presentation in a pediatric patient
Medisur
síndrome mucocutáneo linfonodular
vasculitis
niño
title Kawasaki disease. Atypical presentation in a pediatric patient
title_full Kawasaki disease. Atypical presentation in a pediatric patient
title_fullStr Kawasaki disease. Atypical presentation in a pediatric patient
title_full_unstemmed Kawasaki disease. Atypical presentation in a pediatric patient
title_short Kawasaki disease. Atypical presentation in a pediatric patient
title_sort kawasaki disease atypical presentation in a pediatric patient
topic síndrome mucocutáneo linfonodular
vasculitis
niño
url http://medisur.sld.cu/index.php/medisur/article/view/5802
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