Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

An Infant Case of Coronary Artery Aneurysms with No Systemic Symptoms after Treatment for Kawasaki Disease

Version 1 : Received: 17 April 2023 / Approved: 17 April 2023 / Online: 17 April 2023 (10:45:30 CEST)

How to cite: Asai, Y.; Suzuki, T.; Yamada, M. An Infant Case of Coronary Artery Aneurysms with No Systemic Symptoms after Treatment for Kawasaki Disease. Preprints 2023, 2023040453. https://doi.org/10.20944/preprints202304.0453.v1 Asai, Y.; Suzuki, T.; Yamada, M. An Infant Case of Coronary Artery Aneurysms with No Systemic Symptoms after Treatment for Kawasaki Disease. Preprints 2023, 2023040453. https://doi.org/10.20944/preprints202304.0453.v1

Abstract

Kawasaki disease is a form of acute febrile multisystem vasculitis. In Japan, the Kobayashi score is used to predict intravenous immunoglobulin resistance and subsequent complications, including coronary artery abnormalities, in children with Kawasaki disease. If the score is high, it is standard practice to use steroids in the initial treatment of the disease. In this study, we describe a pediatric case of coronary artery abnormality formation after acute steroid treatment for Kawasaki disease, despite the lack of an inflammatory response and Kawasaki disease symptoms. The use of steroids with acute Kawasaki disease patients can mask laboratory findings and clinical symptoms. Echocardiogram should be considered an equivalent technique to physical examination.

Keywords

Coronary artery abnormalities; Infants; Kawasaki disease

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

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