All issues > Volume 36(9); 1993

Case Report

J Korean Pediatr Soc. 1993;36(9):1315-1319. Published online September 15, 1993.

Three Cases of Atypical Kawasaki Disease with Coronary Aneurysm

Min-Young MY Park¹, Kwang-Sun KS Han¹, Sung-Yoon SY Cho¹, Byoung-Soo BS Cho¹, Sung-Ho SH Cha¹

¹Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea

Abstract

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.

Keywords :Atypical dawasaki disease, Coronary aneurysm