The incomplete kawasaki disease in child three moths old with formation of aneurysms of coronary and peripheral arteries


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Abstract

The Kawasaki disease is a systemic vasculitis of unclear etiology extremely rare occurring in children of the first three months of life. The disease often takes course in incomplete and atypical form and brings high risk of development of such cardio-vascular diseases as aneurysms of coronary and peripheral arteries. The disease progresses in acute form with fever, catarrhal manifestations and results in convalescence and hence it is very often considered as infection pathology. Nowadays, there is no specific diagnostic tests permitting verifying the disease. The article presents clinical case of Kawasaki disease in child of three months age who was not diagnosed timely. As result, up to nine months in boy aneurysms of coronary and axillary arteries were developed. This observation emphasizes complexity of diagnostic of Kawasaki disease in children of early age, absence of diagnostic criteria and high risk of development of aneurysms of arteries under incomplete and/or atypical forms, especially in children prior to age of three months.

About the authors

Elena M. Kamaltynova

The Siberian state medical university of Minzdrav of Russia; The Tomsk Oblastnaia children hospital

Email: eleant21@yandex.ru
MD, PhD, DSc. Associate professor Department of faculty pediatrics with children diseases course of general practice faculty «Siberian State Medical University»; Deputy Chief Doctor The Tomsk Region Children Hospital 634050, Tomsk, Russia

D. R Tukhvatulina

The Tomsk Oblastnaia children hospital

634009, Tomsk, Russia

V. A Rovitskaya

The Siberian state medical university of Minzdrav of Russia

634050, Tomsk, Russia

E. G Belonogova

The Siberian state medical university of Minzdrav of Russia; The Tomsk Oblastnaia children hospital

634009, Tomsk, Russia

E. A Karbainova

The Tomsk Oblastnaia children hospital

634009, Tomsk, Russia

V. V Saushkin

The research institute of cardiology

634012 Tomsk, Russia

T. P Kondratyeva

The research institute of cardiology

634012 Tomsk, Russia

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