Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(03): 373-376
DOI: 10.4103/0971-3026.190415
Pediatric

Unusual imaging presentation of infantile atypical Kawasaki disease

Nishith Kumar
Department of Radio-Diagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Mahesh Kumar Mittal
Department of Radio-Diagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Mukul Sinha
Department of Radio-Diagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Arpita Gupta
Department of Paediatrics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Brij Bhushan Thukral
Department of Radio-Diagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
› Author Affiliations
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Kawasaki disease is a systemic medium vessel vasculitis of unknown etiology affecting children under 5 years of age. There are no specific diagnostic tests, and thus, the diagnosis of the disease is primarily made on the basis of clinical criteria. Unusual presentations of Kawasaki disease have been variably reported from different parts of the world. However, presentation of the disease in the form of peripheral thromboembolism and florid non-coronary aneurysms has rarely been described This report describes the imaging findings in infantile atypical Kawasaki disease with aneurysms of multiple medium-sized arteries, including coronary arteries, emphasizing the detection of clinically silent aneurysms in the disease.

Keywords

Coronary artery aneurysm - infantile atypical Kawasaki disease - Kawasaki disease


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Shah I. Kawasaki's disease: An unusual presentation. J Cardiovasc Dis Res 2012;3:240-1.
  • 2 Casadonte JR, Perez VM, Stapleton G, Crawford MM, Jacobs JP, Cooper DS, et al. Magnetic resonance angiography detection of vascular aneurysms in patients with Kawasaki disease and coronary artery aneurysms. World J Pediatr Congenit Heart Surg 2010;1:393-6.
  • 3 Dodi I, Raggi V, Verna M, Tchana B, Vignali D, Bandello MA, et al. Atypical Kawasaki disease with coronary aneurysm in infant. Ital J Pediatr 2001;37:19.
  • 4 Diagnostic guidelines for Kawasaki disease. Council on Cardiovascular Disease in the Young; Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease; American Heart Association. Circulation 2001;103:335-6.
  • 5 Catalano-Pons C, Quartier P, Leruez-Ville M, Kaguelidou F, Gendrel D, Lenoir G, et al. Primary cytomegalovirus infection, atypical Kawasaki disease, and coronary aneurysms in 2 infants. Clin Infect Dis 2005;41:e53-6.
  • 6 Demirpolat G, Parildar M, Oran I, Aksu K, Memiş A. Angiographic signs in specific vasculitides. Diagn Interv Radiol 2008;14:159-62.