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Para-aortic Lymphadenopathy Associated with Kawasaki Disease.
Iran J Pediatr. 2010 Dec; 20(4):476-8.IJ

Abstract

BACKGROUND

Kawasaki disease is an acute vasculitis that occurs mainly in children. Cervical lymphadenopathy is one of the major presenting manifestations of Kawasaki disease. We report a case of Kawasaki disease with para aortic lymphadenopathy, as an unusual feature in this disease.

CASE PRESENTATION

This 2.5 year old girl presented with persistent high grade fever, erythematous rash, bilateral non purulent conjunctivitis, red lips, and edema of extremities. Laboratory results included an elevated erythrocyte sedimentation rate, leukocytosis, anemia, and positive C-reactive protein. On second day after admission she developed abdominal pain. Ultrasonography of abdomen revealed multiple lymph nodes around para aortic area, the largest measuring 12mm×6mm. Treatment consisted of aspirin and high dose intravenous γ-globulin. Ultrasonography and CT scan of abdomen performed one week later showed disappearance of the lymph nodes.

CONCLUSION

There are few previous reports of lymphadenopathy in unusual sites such as mediastinum in Kawasaki disease. Para aortic lymph nodes enlargement might be an associated finding with acute phase of Kawasaki disease. In these patients a close observation and ultrasonographic follow up will prevent unnecessary further investigation.

Authors+Show Affiliations

Allergy research center, Shiraz University of Medical Sciences, Shiraz, IR Iran.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports

Language

eng

PubMed ID

23056749

Citation

Kashef, Sara, et al. "Para-aortic Lymphadenopathy Associated With Kawasaki Disease." Iranian Journal of Pediatrics, vol. 20, no. 4, 2010, pp. 476-8.
Kashef S, Momen T, Heidari B, et al. Para-aortic Lymphadenopathy Associated with Kawasaki Disease. Iran J Pediatr. 2010;20(4):476-8.
Kashef, S., Momen, T., Heidari, B., & Amin, R. (2010). Para-aortic Lymphadenopathy Associated with Kawasaki Disease. Iranian Journal of Pediatrics, 20(4), 476-8.
Kashef S, et al. Para-aortic Lymphadenopathy Associated With Kawasaki Disease. Iran J Pediatr. 2010;20(4):476-8. PubMed PMID: 23056749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Para-aortic Lymphadenopathy Associated with Kawasaki Disease. AU - Kashef,Sara, AU - Momen,Tooba, AU - Heidari,Behzad, AU - Amin,Reza, PY - 2009/11/29/received PY - 2010/01/07/revised PY - 2010/02/19/accepted PY - 2012/10/12/entrez PY - 2010/12/1/pubmed PY - 2010/12/1/medline KW - Children KW - Fever KW - Kawasaki disease KW - Lymphadenopathy KW - Vasculitis SP - 476 EP - 8 JF - Iranian journal of pediatrics JO - Iran J Pediatr VL - 20 IS - 4 N2 - BACKGROUND: Kawasaki disease is an acute vasculitis that occurs mainly in children. Cervical lymphadenopathy is one of the major presenting manifestations of Kawasaki disease. We report a case of Kawasaki disease with para aortic lymphadenopathy, as an unusual feature in this disease. CASE PRESENTATION: This 2.5 year old girl presented with persistent high grade fever, erythematous rash, bilateral non purulent conjunctivitis, red lips, and edema of extremities. Laboratory results included an elevated erythrocyte sedimentation rate, leukocytosis, anemia, and positive C-reactive protein. On second day after admission she developed abdominal pain. Ultrasonography of abdomen revealed multiple lymph nodes around para aortic area, the largest measuring 12mm×6mm. Treatment consisted of aspirin and high dose intravenous γ-globulin. Ultrasonography and CT scan of abdomen performed one week later showed disappearance of the lymph nodes. CONCLUSION: There are few previous reports of lymphadenopathy in unusual sites such as mediastinum in Kawasaki disease. Para aortic lymph nodes enlargement might be an associated finding with acute phase of Kawasaki disease. In these patients a close observation and ultrasonographic follow up will prevent unnecessary further investigation. SN - 2008-2150 UR - https://www.unboundmedicine.com/medline/citation/23056749/Para_aortic_Lymphadenopathy_Associated_with_Kawasaki_Disease_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23056749/ DB - PRIME DP - Unbound Medicine ER -
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