| A Case of Mucocutaneous Lymph Node Syndrome Complicated by Aseptic Meningitis, Hydrops of the Gallbladeder and Dilatation of the Coronary Arteries. |
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Ho Jin Lee1, Sung Sook Cho1, Hyung Sik Moon1, Hong Kue Lee1, Soon Il Lee1, Young Seok Lee1 |
1Department of Pediatrics, Sowha Children
2Department of Radiology, Sowha Children |
| 무균성 뇌막염，담낭수증，관상동맥 확장증이 함께 동반된 열성 피부점막 임파절 증후군 1례
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이호진1, 조성숙1, 문형식1, 이홍규1, 이순일1, 이영석1 |
1소화아동병원 소아과
2소화아동병원 방사선과 |
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| Abstract |
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We experienced 1 case of mucocutaneous lymph node syndrome complicated by aseptic meningitis,
hydrops of the gallbladder and dilatation of the coronary arteries in 2 year 8 month old female infant.
Her clinical synptoms, laboratory data and clinical courses were presented with brief review of the literatures.
This baby admitted because of high fever and vomiting for 6 days. She had injection of the global
conjunctiva, dry fissured lip, injected throat, left cervical lymph node(1.5x2.0 cm), suspicious neck
stiffness and swelling of hands & feet on admission, but no skin rash. The tips of the fingers and toes
were desquamated on Hospital Day 8. Spinal tapping was done 5 times in the duration of admission.
The cerebrospinal fluid finding showed cell count 12-28/mm3(mainly lymphocyte), sugar & protein: normal value.
The C.S.F finding was normalized on Hospital Day 24.
Abdominal ultrasonography showed distension of the gallbladder with folding on Hospital Day 2.
Two D. echocardiography at the aortic level of parasternal short axis plane showed dilatation of
the coronary arteries (left; 3.5 mm, right;3.5 mm) on Hospital Day 17, which was subsided on Hospital Day 31.
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| Key Words:
Mucocutaneous lymph node syndrome, Aseptic meningitis, Hydrops of the gallbladder,
dilatation of the coronary artery.
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