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A Case of Mucocutaneous Lymph Node Syndrome Complicated by Partial Intestinal Obstruction.

Journal of the Korean Pediatric Society 1988;31(6):796-802.
Published online June 30, 1988.
A Case of Mucocutaneous Lymph Node Syndrome Complicated by Partial Intestinal Obstruction.
Dong Won Choi1, Ki Sup Chung1, Jin Suk Suh2
1Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea
소장의 부분 장폐쇄를 합병한 급성 열성 피부 점막 임파절 증후군 1례
최동원1, 정기섭1, 서진석2
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실
Received: 27 February 1988   • Accepted: 24 March 1988
Abstract
Mucocutaneous lymph node syndrome was first described as a new clinical disease by Kawasaki in Japan in 1967. Recently, there have been numerous reports of this disease throughout the world and mucocutaneous lymph node syndrome has become familiar to the pediatrician. Complications previously described include coronary arteritis, carditis and gall bladder hydrops, aseptic meningitis and arthritis. We experienced 1 case of mucocutaneous lymph node syndrome complicated by a partial obstruc- tion in the small intestine of a 2 year, 8 month old boy, who had suffered from a high temperature continuously for 7 day and maculopapular eruptions on the face and trunk for 5 days prior to admission. There were conjuctival injection, reddened and fissured lips, enlargement of the cervical lymph node, indurative edema of the hands & feet on admission. On the 7th hospital day, the initial manifestations of MCLS subsided but vomiting began and he complained of abdominal pain. Abdominal radiograph showed considerable gaseous distention of the proximal small bowel with multiple air fluid levels. On the 11th hospital day, small bowel examination with barium showed segmental narrowing of the jejunum and edema of the small bowel wall. He was managed by conservative treatment without surgical intervention. A few days later, the abnormal findings of the previous small bowel series completely disappeared on re-examination with a concomitant improvement in clinical symptoms. Oral intake was resumed without difficulty and he was discharged on the 23rd hospital day in excellent general condition. Related literature is briefly reviewed.
Key Words: Mucocutaneous lymph node syndrome, Partial obstruction in small intestine


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