| A Case of Mucocutaneous Lymph Node Syndrome Complicated by Partial Intestinal Obstruction. |
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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 |
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최동원1, 정기섭1, 서진석2 |
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실 |
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Received: 27 February 1988 • Accepted: 24 March 1988 |
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| Abstract |
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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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