Severe Kawasaki Disease and Thrombocytopenia: A Case Report

Kawasaki disease (KD) or lymphocutaneous mucosal syndrome is a medium vessel vasculitis of unknown mechanism, which mainly affects the coronary arteries. The diagnosis is mainly based on clinical criteria. Biologically, thrombocytosis is the usual biological disturbance of this disease. Herein, we r...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-08, Vol.15 (8)
Main Authors: Souni, Ghizlane, Ayad, Ghanam, Elouali, Aziza, Rkain, Maria, Babakhouya, Abdeladim
Format: Article
Language:English
Subjects:
Aneurysms
Aspirin
Blood platelets
Cardiology
Case reports
Coronary vessels
Cytomegalovirus
Heart attacks
Hematology
Hemoglobin
Immunoglobulins
Kawasaki disease
Patients
Pediatrics
Peptides
Thrombocytopenia
Veins & arteries
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Summary:Kawasaki disease (KD) or lymphocutaneous mucosal syndrome is a medium vessel vasculitis of unknown mechanism, which mainly affects the coronary arteries. The diagnosis is mainly based on clinical criteria. Biologically, thrombocytosis is the usual biological disturbance of this disease. Herein, we report a 2-year and 10-month-old girl, who was admitted to our department for a febrile rash that had been evolving for seven days prior to her admission. Clinical examination revealed a rash involving the entire body, conjunctivitis, cheilitis, and a strawberry tongue. A biological inflammatory syndrome could be identified with thrombocytopenia at 91,000/mm3. The patient received intravenous immunoglobulins and acetylsalicylic acid with a favorable evolution and complete resolution of thrombocytopenia.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.42916