Kawasaki disease with cardiac involvement revealed by acute pancreatitis in an adult: a rare case report

Abstract Background Kawasaki disease (KD) is a rare systemic inflammatory disease primarily affecting children under 5 years of age, with very few cases reported in adults. This condition is characterized by potential coronary involvement, including aneurysms and gastrointestinal manifestations, suc...

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Main Authors: Leila BARAKAT, Meryem HABOUB, Safaa MHABER, Khadija ECHCHILALI, Mina MOUDATIR, Salim AROUS, Mohamed Ghali BENOUNA, Rachida HABBAL, Abdenasser DRIGHIL, Hassan EL KABLI
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:The Egyptian Heart Journal
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Online Access:https://doi.org/10.1186/s43044-025-00649-9
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Summary:Abstract Background Kawasaki disease (KD) is a rare systemic inflammatory disease primarily affecting children under 5 years of age, with very few cases reported in adults. This condition is characterized by potential coronary involvement, including aneurysms and gastrointestinal manifestations, such as pancreatitis. Case presentation A 21-year-old man presented with a febrile rash, fever, conjunctivitis, and acute pancreatitis. Imaging revealed coronary artery aneurysms. Treatment with intravenous immunoglobulins, aspirin, and corticosteroids led to significant clinical improvement. Conclusions This case underscores the rare occurrence of Kawasaki disease in adults, particularly with both pancreatic and coronary artery involvement. The effective use of immunoglobulins and corticosteroids highlights the importance of early diagnosis and treatment in managing this rare condition in adults.
ISSN:2090-911X