Acute renal failure in a child with Kawasaki disease

Abstract

Abstract. Renal manifestation of Kawasaki disease is not frequently described. A four-year-old boy was referred to our institute with acute renal failure for dialysis. Detailed history coupled with physical examination revealed telltale symptom complex of Kawasaki Disease. We diagnosed the case to be Kawasaki Disease complicated by Acute Renal Failure at presentation. The patient recovered with supportive measures alone without requiring renal replacement therapy. Acute renal failure is a rare accompaniment of Kawasaki Disease as presenting manifestation.

 

Key words: Kawasaki disease, acute renal failure

Keywords

• Kawasaki disease, acute renal failure

Kaynakça

1. Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes of children. Jpn J Arerugi 1967; 16: 178-222.
2. Rowky AH, Shulman ST. Kawasaki Disease. In Nelson’s Textbook of Pediatrics 18th Edition, Vol I Eds Kliegman RM, Jenson HB, Behrman RE, Stanton BF. Philadelphia, WB Saunders 2007; 1036-1042
3. Petty RE, Cassidy JT. Kawasaki Disease. In Cassidy JT Petty RE (eds). Textbook of Pediatric Rheumatology (4th ed). Philadelphia: WB Saunders, Company, 2001, pp 580-594.
4. Singh S, Kawasaki Disease. A Clinical Dilemma; Ind Pediatr 1999: 36; 817-875.
5. Watanabe T, Abe Y, Sato S, et al. Sterile pyuria in patients with Kawasaki disease originates from both the urethra and the kidney. Pediatr Nephrol 2007; 22: 987-991.
6. Mac Ardle BM, Chambers TL, Weller SD, Tribe CR. Acute renal failure in Kawasaki disease; J R Soc Med 1983; 76: 615-616.
7. Lande MB, Gleeson JG, Sundel RP. Kawasaki disease and acute renal failure. Pediatr Nephrol 1993; 7: 593.
8. Bonany PJ, Bilkis MD, Gallo G, et al. Acute renal failure in typical Kawasaki disease. Pediatr Nephrol 2002; 17: 329-231.

9. Sevin C, Heidet L, Gagnadoux MF, Chéron G, Niaudet P. Acute renal insufficiency in Kawasaki disease. Arch Fr Pediatr 1993; 50: 505-507.
10. El Karoui K, Servais A, Fadel F, et al. Acute renal failure and febrile rash--infectious or not? Adult Kawasaki disease (KD). Nephrol Dial Transplant 2007; 22: 949-951.
11. Resch M, Banas B, Endemann D, et al. Exanthema and acute anuric renal failure. Clin Nephrol 2006; 65: 361-363.
12. Watanabe T. Acute renal failure in Kawasaki disease. Pediatr Nephrol 2003; 18: 200.
13. Ristoska-Bojkovska N, Stavric K, Tasic V. Kawasaki disease misdiagnosed as acute pyelonephritis. Pediatr Nephrol 2003; 18: 851-852.
14. Singh S, Kumar L, Trehan A, Marwaha RK. Kawasaki Disease at Chandigarh. Indian Pediatr 1997; 34: 822-825.
15. Paul DK, Gupta A, Lahiri M. Kawasaki Disease in Kolkata. Ind Pediatr 2000: 37: 1264-1265.
16. Ghosh A, Chakrabartty S, Niyogi P, Bhattacharyya A. Kawasaki Disease with palatal palsy. Ind Pediatr 2000; 27; 1266-1268.
17. Senzaki H, Suda M, Noma S, et al. Acute heart failure and acute renal failure in Kawasaki disease. Acta Paediatr Jpn 1994; 36: 443-447.
18. Veiga PA, Pieroni D, Baier W, Feld LG. Association of Kawasaki disease and interstitial nephritis. Pediatr Nephrol 1992; 6: 421-423.
19. Resch M, Banas B, Endemann D, et al. Exanthema and acute anuric renal failure. Clin Nephrol 2006; 65: 361-363.
20. Mac Ardle BM, Chambers TL, Weller SD, Tribe CR. Acute renal failure in Kawasaki disease; J R Soc Med 1983; 76: 615-616.
21. Salcedo JR, Greenberg L, Kapur S. Renal histology of mucocutaneous lymph node syndrome (Kawasaki disease). Clin Nephrol 1988; 29: 47-51.
22. Fakhouri F. Intravenous immunoglobulins and acute renal failure. mechanism and prevention. Rev Med Interne 2007; 28: 4-6
23. Bayazit AK, Yalcinkaya F, Cakar N, et al. Reno- vascular hypertension in childhood: a nationwide survey. Pediatr Nephrol 2007; 22: 1327-1333.
24. Nardi PM, Haller JO, Friedman AP, Slovis TL, Schaffer RM. Renal manifestations of Kawasaki's disease. Pediatr Radiol 1985; 15: 116-118.
25. Tahara M, Baba K, Waki K, Arakaki Y. Analysis of Kawasaki disease showing elevated antibody titres of Yersinia pseudotuberculosis. Acta Paediatr 2006; 95: 1661-1664.