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Atypical desquamation in a 2.5-year-old boy with Kawasaki disease: A case report.
Electron Physician. 2017 Feb; 9(2):3764-3767.EP

Abstract

Kawasaki disease (KD) is a vasculitis that mostly affects children under 5 years of age. This article presents a 2.5-year-old boy who presented with 6 days of fever, generalized maculopapular rash, bilateral non-exudative conjunctivitis, cracked lips, right cervical lymphadenopathy, erythematous extremities, and perianal desquamation. Laboratory studies showed leukocytosis and sterile pyuria. Because diagnosis of KD was proved, oral acetylsalicylic acid with the anti-inflammatory dose and intravenous immunoglobulin were started for him. On the seventh day of admission time, he developed desquamation and erythema on the site of his right cervical lymphadenopathy as well as periungual scaling. About three weeks after starting the treatment, scaling of the cervical lymphadenopathy and periungual area stopped. Echocardiography was performed for him three times: at the time of diagnosis, four weeks, and 6 months later and revealed normal coronary arteries. We report this sign, desquamation on the site of cervical lymphadenopathy, as a new finding.

Authors+Show Affiliations

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.MD., Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.MD., Allergy and Clinical Immunologist, Professor, Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.MD., Allergy and Clinical Immunologist, Professor, Allergy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.MD., Allergy and Clinical Immunologist, Professor, Department of Immunology and Allergy, Shiraz University of Medical Sciences, Shiraz, Iran.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

28465804

Citation

Adib, Ali, et al. "Atypical Desquamation in a 2.5-year-old Boy With Kawasaki Disease: a Case Report." Electronic Physician, vol. 9, no. 2, 2017, pp. 3764-3767.
Adib A, Fazel A, Nabavizadeh SH, et al. Atypical desquamation in a 2.5-year-old boy with Kawasaki disease: A case report. Electron Physician. 2017;9(2):3764-3767.
Adib, A., Fazel, A., Nabavizadeh, S. H., Alyasin, S., & Kashef, S. (2017). Atypical desquamation in a 2.5-year-old boy with Kawasaki disease: A case report. Electronic Physician, 9(2), 3764-3767. https://doi.org/10.19082/3764
Adib A, et al. Atypical Desquamation in a 2.5-year-old Boy With Kawasaki Disease: a Case Report. Electron Physician. 2017;9(2):3764-3767. PubMed PMID: 28465804.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atypical desquamation in a 2.5-year-old boy with Kawasaki disease: A case report. AU - Adib,Ali, AU - Fazel,Ali, AU - Nabavizadeh,Seyed Hesamedin, AU - Alyasin,Sohaila, AU - Kashef,Sara, Y1 - 2017/02/25/ PY - 2016/04/21/received PY - 2016/07/28/accepted PY - 2017/5/4/entrez PY - 2017/5/4/pubmed PY - 2017/5/4/medline KW - Cervical lymphadenopathy KW - Desquamation KW - Kawasaki disease SP - 3764 EP - 3767 JF - Electronic physician JO - Electron Physician VL - 9 IS - 2 N2 - Kawasaki disease (KD) is a vasculitis that mostly affects children under 5 years of age. This article presents a 2.5-year-old boy who presented with 6 days of fever, generalized maculopapular rash, bilateral non-exudative conjunctivitis, cracked lips, right cervical lymphadenopathy, erythematous extremities, and perianal desquamation. Laboratory studies showed leukocytosis and sterile pyuria. Because diagnosis of KD was proved, oral acetylsalicylic acid with the anti-inflammatory dose and intravenous immunoglobulin were started for him. On the seventh day of admission time, he developed desquamation and erythema on the site of his right cervical lymphadenopathy as well as periungual scaling. About three weeks after starting the treatment, scaling of the cervical lymphadenopathy and periungual area stopped. Echocardiography was performed for him three times: at the time of diagnosis, four weeks, and 6 months later and revealed normal coronary arteries. We report this sign, desquamation on the site of cervical lymphadenopathy, as a new finding. SN - 2008-5842 UR - https://www.unboundmedicine.com/medline/citation/28465804/Atypical_desquamation_in_a_2_5_year_old_boy_with_Kawasaki_disease:_A_case_report_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/28465804/ DB - PRIME DP - Unbound Medicine ER -
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