Document Detail


Sudden death in a 21-year-old man caused by thrombosed coronary aneurysm: late sequelae or a very late onset of Kawasaki disease?
MedLine Citation:
PMID:  12459431     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Kawasaki disease (KD; mucocutaneous lymph node syndrome) is an infantile febrile illness of unknown origin that occurs in worldwide epidemics. The main clinical features of the disease, such as fever, mucositis, cervical lymphoadenopathy and skin rash, associated with coronary aneurysms or arteritis are diagnostic. Late sequelae of coronary arteritis are very rare in the second decade of life; we describe the case of a 21-year-old male who died suddenly. The autopsy revealed a large thrombotic coronary aneurysm, coronary arteritis and myocarditis, supporting the diagnosis of a late fatal sequela of KD. The hypothesis of a very late onset of the disease is also considered and discussed.
Authors:
Giovanni Bartoloni; Di Mercurio Salvatrice; Rossitto Carlo
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology     Volume:  11     ISSN:  1054-8807     ISO Abbreviation:  Cardiovasc. Pathol.     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2002-12-02     Completed Date:  2003-05-20     Revised Date:  2006-11-03    
Medline Journal Info:
Nlm Unique ID:  9212060     Medline TA:  Cardiovasc Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-21     Citation Subset:  IM    
Affiliation:
Department of Pathology and Forensic Pathology, University of Catania Medical School, Catania, Italy. gbartoloni@mbox.unict.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteritis / etiology,  pathology
Coronary Aneurysm / etiology,  pathology*
Coronary Thrombosis / etiology,  pathology*
Coronary Vessels / pathology
Death, Sudden, Cardiac / etiology*
Diagnosis, Differential
Humans
Lupus Erythematosus, Systemic / pathology
Male
Mucocutaneous Lymph Node Syndrome / complications*
Myocarditis / etiology,  pathology
Polyarteritis Nodosa / pathology
Time Factors

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


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