Zor tanı konulan bir Kawasaki sendromu Olgu Sunumu

Öz

Kawasaki sendromu konjonktivada hiperemi ağız mukozasında yangı ekstremitelerde belirgin değişiklikler cilt bulguları boyunda lenfadenomegali ve ateş ile seyreden bir çocukluk çağı vaskülitidir Yazımızda eritema multiforme tarzında döküntü ishal hipoalbuminemi ve trombositopeni ile başvuran yatışının 12 gününde el ve ayaklarındaki soyulmalar ve ekokardiyografi bulguları ile Kawasaki sendromu tanısı koyduğumuz altı yaşında bir kız hastayı sunduk Türk Ped Arş 2007; 42: 40 2 Anahtar kelimeler: Hemolitik üremik sendrom Kawasaki sendromu trombositopeni

Anahtar Kelimeler

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Kawasaki syndrome; diagnosed with difficulty Case Report

Abstract

Kawasaki syndrome is an acute febrile vasculitis of childhood with conjuctival hyperemia inflammation of oral mucosa characteristical changes of extremities skin signs and cervical lymphadenomegaly We are reporting a 6 years old girl who was admitted to our hospital with complaints of skin eruptions erythema multiforme and diarrhea At the first blood count thrombocytopenia was present and also there was hypoalbuminemia On the 12th day of hospitalization we noticed desquamation on both hands and feet Echocardiogram revealed dilatation of the coronary arteries nbsp; Turk Arch Ped 2007; 42: 40 2 Key words: Hemolytic uremic syndrome Kawasaki syndrome thrombocytopenia

Keywords

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Kaynakça

1. Sevin C, Heidet L, Gagnadoux MF, et al. Acute renal insuffi- ciency in Kawasaki disease. Arch Fr Pediatr 1993; 50: 505-7. (Abstract)
2. Meade RH, Brandt L. Manifestations of Kawasaki disease in New England outbreak of 1980. J Pediatr 1982: 100: 558-62.
3. Terazas AM, Bayle MS, Martel AT. Complications and cour- se of Kawasaki disease in 23 patients. An Esp Pediatr 1997; 46: 549-54.
4. Kasapçopur Ö, Beker DB, Çalışkan S, ve ark. Kawasaki Sendromu. Türk Pediatri Arşivi 2000; 35: 160-3.
5. Yanagawa H, Yashiro M, Nakamura Y, et al. Epidemiologic pictures of Kawasaki disease in Japan: from the nationwide incidence survey in 1991 and 1992. Pediatrics 1995; 95: 475-9.
6. Niwa K, Aotsuka H, Hamada H, et al. Thrombocytopenia: a risk factor for acute myocardial infarction during acute pha- se of Kawasaki disease. Coron Artery Dis 1995; 6: 857-64.
7. Nomura Y, Masuda K, Yoshinaga M, et al. Patients diagno- sed with Kawasaki disease before the fifth day of illness ha- ve a higher risk of coronary artery aneurysm. Pediatr Int 2002; 44: 353-7.
8. Özyürek AR, Ülger Z, Levent E, Gürses D. Kawasaki has- talığı: 11 vakanın değerlendirilmesi. Çocuk Sağlığı ve Has- talıkları Dergisi 2004; 47: 167-71. Türk Ped Arş 2007; 42: 40-2 Kawasaki sendromu