TY - JOUR TT - ADOLESCENT CASE WITH KAWASAKI DISEASE AU - Özdemir, Osman AU - Gür, Gökçe AU - Ağras, Pınar İşık AU - Yılmaz, Gonca PY - 2009 DA - August JF - Türkiye Çocuk Hastalıkları Dergisi JO - Türkiye Çocuk Hast Derg PB - T.C. Sağlık Bakanlığı Ankara Şehir Hastanesi WT - DergiPark SN - 1307-4490 SP - 40 EP - 43 VL - 3 IS - 2 KW - Kawasaki hastalığı KW - mukokutanöz lenf nodu sendromu KW - intravenöz immunoglobulin N2 - Kawasaki disease occurs predominantly in children younger than 5 years of age. The disease is a febrile, multisystem illness of importance because of the risk of development of coronary artery abnormalities. Kawasaki disease is a generalized systemic vasculitis involving small to medium blood vessels throughout the body. Within several days of the onset of fever (persisting for at least 5 days), other characteristic features of the illness usually appear, including conjunctival infection without exudates; erythematous mouth and pharynx, strawberry tongue, and red, cracked lips; a polymorphous, generalized, erythematous rash; erythematous palms and soles; a unilateral cervical lymph node enlarged to at least 1.5 cm in diameter. Treatment with intravenous immunoglobulin and high-dose acetyl salicylic acid remains the primary management strategy. We report a case of acute Kawasaki disease in a 12-year-old girl who could not be given intravenous immunoglobulin in the first 10 days of the illness because of social security problems. Although she was given high-dose aspirin and steroids in the acute phase, she was successfully treated with intravenous immunoglobulin in the subacute phase CR - Satou GM, Giamelli J, Gewitz MH. Kawasaki disease: diag- nosis, management, and long-term implications. Cardiol Rev. 2007;15:163–169. CR - Rowley AH, Shulman ST. Kawasaki syndrome. Pediatr Clin North Am. 1999;46:313–329. CR - Stockheim JA, Innocentini N, Shulman ST. Kawasaki disease in older children and adolescents. J Pediatr. 2000;137:250–252. CR - Sève P, Stankovic K, Smail A, Durand DV, Marchand G, Brous- solle C. Adult Kawasaki disease: report of two cases and literature review. Semin Arthritis Rheum. 2005;34:785–792 CR - Newburger JW, Taubert KA, Shulman ST, Rowley AH, Gewitz MH, Takahashi M, McCrindle BW. Summary and abstracts of the seventh International Kawasaki Disease Symposium: December 4-7, 2001. Pediatr Res. 2003;53:153–157. UR - https://dergipark.org.tr/tr/pub/tchd/article/550601 L1 - https://dergipark.org.tr/tr/download/article-file/690108 ER -