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Abstract
We describe four patients with vasculitis of the coronary and other medium sized arteries. Three of them died as a consequence of cardiac failure and the fourth had a ruptured aneurysm of the left common iliac artery. Coronary vasculitis is pathognomonic for Kawasaki disease (KD), but our patients had few other signs of this disorder, suggesting so called atypical KD. Because the described patients lacked most of the clinical criteria, the diagnosis was delayed. We focus on other clinical features in these patients and stress the importance of early recognition and treatment.
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Abbreviations
- AKD:
atypical Kawasaki disease
- KD:
Kawasaki disease
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Authors and Affiliations
Department of Immunology and Rheumatology, University Hospital for Children and Youth, “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, NL-3501 CA, Utrecht, The Netherlands
K. Boven, E. R. De Graeff-Meeder & W. Kuis
Department of Pathology, University Hosptial, Utrecht, The Netherlands
W. Spliet
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Boven, K., De Graeff-Meeder, E.R., Spliet, W.et al. Atypical kawasaki disease: An often missed diagnosis.Eur J Pediatr151, 577–580 (1992). https://doi.org/10.1007/BF01957725
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