1. [Neurological manifestations in atypical Kawasaki disease].
- Author
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Martínez-Guzmán E, Gámez-González LB, Rivas-Larrauri F, Sorcia-Ramírez G, and Yamazaki-Nakashimada M
- Subjects
- Aspirin therapeutic use, Child, Child, Preschool, Diagnosis, Differential, Diarrhea etiology, Drug Therapy, Combination, Epilepsy, Tonic-Clonic diagnosis, Gallbladder Diseases etiology, Humans, Immunoglobulins, Intravenous therapeutic use, Immunosuppressive Agents therapeutic use, Male, Meningoencephalitis diagnosis, Mucocutaneous Lymph Node Syndrome drug therapy, Vomiting etiology, Epilepsy, Tonic-Clonic etiology, Mucocutaneous Lymph Node Syndrome complications
- Abstract
Background: Kawasaki disease (KD) is a type of systemic vasculitis of unknown etiology. Atypical Kawasaki disease is defined as that where there are signs and symptoms not corresponding to the classical criteria for this nosological entity. Children with atypical Kawasaki disease may present with acute abdominal symptoms, meningeal irritation, pneumonia or renal failure., Clinical Cases: We describe 4 children with ages ranging from 2 to 12 years who had atypical Kawasaki disease, with neurological and gastrointestinal symptoms as part of the systemic presentation of the disease. Treatment consisted of immunoglobulin and corticosteroids with good evolution., Conclusions: KD is a systemic vasculitis that can involve many territories. Atypical manifestations can mislead the clinician and delay diagnosis. Pediatricians and sub-specialists should be aware of these neurological manifestations in order to provide adequate and opportune treatment.
- Published
- 2017
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