All issues > Volume 46(2); 2003

Case Report

J Korean Pediatr Soc. 2003;46(2):207-209. Published online February 15, 2003.

A Case of Kawasaki Disease Associated with Acute Renal Failure and Necrotizing Myositis

So Hyun SH Ahn¹, So Yun SY Shim¹, Sejung SJ Sohn¹, Seung Joo SJ Lee¹, Un Seop US Han²

¹Departments of Pediatrics, Ewha Womans University College of Medicine, Seoul, Korea
²Departments of Pathology, Ewha Womans University College of Medicine, Seoul, Korea

Correspondence Sejung SJ Sohn ,Email: sohn@ewha.ac.kr

Abstract

Kawasaki disease is an acute febrile vasculitis affecting primarily infants and young children. In addition to the cardiovascular involvement, it may cause inflammatory changes in various organs and body systems : digestive, respiratory, urinary, nervous and musculoskeletal. A case is reported of atypical Kawasaki disease associated with acute renal failure and necrotizing myositis in the right gastrocnemius in a 10-year-old boy. In older children, uncommon age of onset and additional features less commonly associated with Kawasaki disease may contribute to a delayed diagnosis.

Keywords :Kawasaki disease, Acute renal failure, Myositis