PMID: 9184977May 4, 1997Paper

Patterns of Kawasaki syndrome presentation

International Journal of Pediatric Otorhinolaryngology
A H ParkA Hotaling

Abstract

Kawasaki syndrome (KS) is a systemic disorder of unknown etiology that can lead to coronary artery aneurysm and thrombosis in a significant number of children. It is defined by a number of clinical guidelines set by the Centers for Disease Control (Rauch, A.M., Hurwitz, E.S. (1985) Centers for Disease Control (CDC). Case Definition for Kawasaki syndrome. Pediatr. Infect. Dis. 4, 702-703). Many of the symptoms of this illness may lead the patient to the otolaryngologist. These criteria include injected or fissured lips, injected pharynx, strawberry tongue and cervical lymphadenopathy. When administered in the first 10 days of the illness, gamma globulin has been demonstrated to reduce the prevalence of coronary artery abnormalities (Newburger, J.W., Takahashi, M., Burns, J.C. et al. (1986) Treatment of Kawasaki syndrome with intravenous gamma globulin. N. Engl. J. Med. 315, 341-347). Unfortunately, when a diagnosis of KS is not considered or if a patient presents with unusual symptoms that are not consistent with the CDC guidelines, the diagnosis and treatment of KS can be delayed or even missed. We present a series of patients with KS to illustrate its patterns of presentation.

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Citations

Aug 29, 2000·International Journal of Pediatric Otorhinolaryngology·M R HomiczJ Edmonds
Apr 18, 2000·International Journal of Pediatric Otorhinolaryngology·A YoskovitchB Moroz
May 16, 2000·European Journal of Clinical Investigation·W C LeeT Y Huang
Oct 23, 2013·European Journal of Pediatrics·Osamu NomuraJohn Ichiro Takayama
Jun 25, 2014·Auris, Nasus, Larynx·Risa TonaYasushi Naito
Dec 3, 2011·Emergency Radiology·Supika KritsaneepaiboonEdward Y Lee
Oct 12, 2012·Pediatric Annals·Nicola CotugnoPaolo Palma
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Nov 28, 2006·International Journal of Cardiology·Miao-Chiu HungC C Laura Meng
Oct 21, 2010·Pediatrics International : Official Journal of the Japan Pediatric Society·Yuki UedaIchiro Kobayashi
Mar 8, 2003·Dermatologic Clinics·Patricia M Witman, Roy S Rogers
Apr 12, 2015·The American Journal of Medicine·Nicholas M MarkLawrence M Tierney
Feb 12, 2014·Acta Oto-laryngologica·Toru SasakiKoichi Tsunoda
Aug 2, 2014·International Journal of Pediatric Otorhinolaryngology·Laura PuhakkaTea Nieminen
Apr 22, 2016·Pediatrics International : Official Journal of the Japan Pediatric Society·Taiki NozakiYukihisa Saida
Sep 21, 2004·Clinical Pediatrics·Raja Mouallem, Arturo S Gastañaduy
Nov 2, 2011·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Kyungmin RohJeonghyun Yoo
Dec 23, 2011·The Pediatric Infectious Disease Journal·Maria MachairaHelen Georgouli
Jul 17, 2010·Yonsei Medical Journal·Ramaswamy GaneshSomu Shivbalan
Dec 31, 2010·Korean journal of pediatrics·Se Hyun Choi, Hyun Jung Kim
Aug 7, 2017·Internal Medicine·Makoto HibinoKiyoshi Miyahara
Feb 6, 2017·Korean Circulation Journal·Woo Young JunKyo Sun Kim

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