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Three Cases of Atypical Kawasaki Disease with Coronary Aneurysm

Journal of the Korean Pediatric Society 1993;36(9):1315-1319.
Published online September 15, 1993.
Three Cases of Atypical Kawasaki Disease with Coronary Aneurysm
Min-Young Park, Kwang-Sun Han, Sung-Yoon Cho, Byoung-Soo Cho, Sung-Ho Cha
Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
Coronary Aneurysm이 동반된 Atypical Kawasaki병 3례
박민영, 한광선, 조성윤, 조병수, 차성호
경희대학교 의과대학 소아과학교실
Kawasaki disease is described by fever lasting five days or more, bilateral conjunctival injection, changes of lips and oral cavity, polymorphous exanthema, acute non-purulent cervical lymphadenopathy, and changes of extremities. Atypical Kawasaki disease is defined as fewer than 4 of 6 criteria described above including coronary artery abnormalities. Especially, atypical clinical manifestations of Kawasaki disease appear in infants younger than 6 months old of age. Thus we recommend echocardiography in early infancy who has prologed fever in order to diagnose atypical Kawasaki disease and treat early. We have experienced three cases of atypical Kawasaki disease with coronary aneurysm who were admitted because of fever and revealed coronary aneurysm on echocardiography.
Key Words: Atypical dawasaki disease, Coronary aneurysm

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