All issues > Volume 31(6); 1988

Original Article

J Korean Pediatr Soc. 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

Received: February 27, 1988;  Accepted: March 24, 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.

Keywords :Mucocutaneous lymph node syndrome, Partial obstruction in small intestine