Very early development of typical signs of Kawasaki Disease with transient coronary involvement.

Danilo Buonsenso, Sebastian Cristaldi, Antonino Reale, Isabella Tarissi de Jacobis, Laura Granata, Alessandra Marchesi
  • Danilo Buonsenso
    Danilo Buonsenso, MD, Catholic University of Sacred Heart—A. Gemelli Hospital, Department of Pediatrics, Pediatric Infectious Disease Unit, Largo A. Gemelli 8, 00168 Rome, Italy. E-mail:, Italy | danilobuonsenso@gmail.com
  • Sebastian Cristaldi
    Ospedale Pediatrico Bambino Gesù, Roma, Italy
  • Antonino Reale
    Ospedale Pediatrico Bambino Gesù, Roma, Italy
  • Isabella Tarissi de Jacobis
    Ospedale Pediatrico Bambino Gesù, Roma, Italy
  • Laura Granata
    Ospedale Pediatrico Bambino Gesù, Roma, Italy
  • Alessandra Marchesi
    Ospedale Pediatrico Bambino Gesù, Roma, Italy

Abstract

Kawasaki disease (KD) is an acute, self-limited, inflammatory disease affecting medium-sized arteries and particularly the coronary arteries in about 25% of untreated cases. KD is a clinical diagnosis based on the presence of ≥5 days of fever and the presence of ≥4 of the 5 principal clinical criteria. We described, for the first time to our knowledge, a case of a very early development (on day 1) of typical KD with transient coronary involvement, diagnosed on day 2 of disease and treated with aspirin and steroids on day 3, with complete resolution of clinical signs and coronary involvement.

Keywords

kawasaki disease, coronary artery

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Submitted: 2018-02-08 01:36:24
Published: 2018-06-20 00:00:00
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