Erythema Nodosum Masking Kawasaki Disease with an Initial Manifestation of Skin Lesions
Yonsei Medical Journal
;
: 312-314, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-742529
ABSTRACT
We report the first case demonstrating an association between Kawasaki disease (KD) and erythema nodosum (EN). A 3-year-old girl presented with EN as an initial manifestation of KD. At the initial visit, she showed high fever of 40℃, injection of the oropharynx, cervical lymphadenopathy, and red-purple cutaneous nodules, particularly on the lower limbs. She complained of severe pain in the neck and cutaneous lesions. Initially, the development of EN was attributed to Salmonella spp infection, which was detected in stool culture. However, the patient did not respond to high-dose ampicillin/sulbactam to which the Salmonella spp is sensitive. Echocardiography performed as screening for fever of unknown origin revealed medium-sized aneurysms of the left anterior descending artery. EN masked the diagnosis of KD, and the patient developed a coronary artery lesion. KD should be considered in the differential diagnosis of refractory EN in pediatric patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Orofaringe
/
Arterias
/
Salmonella
/
Piel
/
Infecciones Bacterianas
/
Ecocardiografía
/
Tamizaje Masivo
/
Vasos Coronarios
/
Extremidad Inferior
/
Tejido Subcutáneo
Tipo de estudio:
Estudio diagnóstico
/
Estudio de tamizaje
Límite:
Child, preschool
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Yonsei Medical Journal
Año:
2019
Tipo del documento:
Artículo
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