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Accession number;02A0492520
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| Title;A Case of Infantile Incomplete Kawasaki Disease with Peripheral Facial Nerve Palsy. |
| Author;
OGAWA MINA
(Shinshu Univ.)
MATSUZAKI SATOSHI
(Shinshu Univ.)
KOBAYASHI NORIMOTO
(Shinshu Univ.)
SEKIGUCHI YUKIO
(Shinshu Univ.)
SHIMIZU TAKASHI
(Shinshu Univ.)
KATAGIRI MAYUMI
(Shinshu Univ.)
KOMIYAMA ATSUSHI
(Shinshu Univ.)
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Journal Title;Journal of the Japan Pediatric Society
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Journal Code:F0896A
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ISSN:0001-6543
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VOL.106;NO.5;PAGE.692-695(2002)
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| Figure&Table&Reference;FIG.2, TBL.1, REF.15 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;This report concerns a case of peripheral facial nerve palsy associated with incomplete Kawasaki disease in a three-month-old boy. He was referred to our clinic with an 11-day history of fever and facial nerve palsy. Echocardiography showed aneurysms of approximately 5mm in the bilateral coronary arteries. His fever persisted for five days or more accompanied by cervical lymphnode swelling, represented by the symptoms mentioned in the diagnostic guidelines for Kawasaki disease. Aspirin, high-dose immunoglobulin, and anticoagulant therapy were started on the basis of a diagnosis of incomplete Kawasaki disease. Since conjunctival congestion, erythema of the body, and fever were noticed during an 18-day period, immunoglobulin was re-administered. Clinical symptoms and blood examination became normal shortly after-wards and the facial palsy disappeared completely within one month. Because cardiac catheterization after two years and six months revealed no coronary artery lesion, the administration of aspirin was discontinued. In conclusion, it is important to bear in mind a diagnosis of Kawasaki disease in the case of any child with unexplained high fever and facial nerve palsy. Because facial nerve palsy associated with Kawasaki disease indicates a high incidence of coronary artery involvement, echocardiographic examination is vital for such case. (author abst.) |
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