Document Detail


Periorbital vasculitis complicating Kawasaki syndrome in an infant.
MedLine Citation:
PMID:  9606251     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Periorbital vasculitis is a previously unreported complication of Kawasaki syndrome (KS). We describe an infant with severe KS refractory to initial management with salicylate and intravenous immunoglobulin (IVIG). Retreatment with IVIG and high-dose pulsed steroids was required for persistent fever and inflammatory manifestations. Despite aggressive medical therapy, a large left coronary artery aneurysm developed. After apparent complete KS remission, acute periorbital vasculitis developed in the left upper eyelid and orbit, requiring operative intervention for diagnosis and high-dose pulsed steroids for therapy. The significance of this previously unreported ophthalmic complication of KS is reviewed, along with a discussion of the role of steroids in KS manifestations refractory to IVIG.
Authors:
M W Felz; A Patni; S E Brooks; R A Tesser
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  101     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-09-18     Completed Date:  1998-09-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  E9     Citation Subset:  IM    
Affiliation:
Department of Family Medicine, Medical College of Georgia, Augusta, GA 30912, USA.
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MeSH Terms
Descriptor/Qualifier:
Eyelid Diseases / etiology*
Humans
Infant
Male
Mucocutaneous Lymph Node Syndrome / complications*
Vasculitis / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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