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A case of kawasaki disease in an adult

Other Title
성인에서 발생한 가와사키병 1례
Authors
서, 유진; 조, 재웅; 이, 진호; 이, 규성; 김, 선신; 이, 수걸; 홍, 지만; 김, 장성; 정, 조원; 남, 동호; 박, 해심
Citation
Chʿŏnsik mit alrerugi, 21(1):96-102, 2001
Journal Title
Chʿŏnsik mit alrerugi; Journal of asthma, allergy and clinical immunology; Korean journal of asthma, allergy and clinical immunology; 천식 및 알레르기
ISSN
1226-8739
Abstract
Kawasaki disease (KD) is an acute vasculitis of undetermined etiology in infancy and early childhood.

There is no diagnostic test to confirm this disease and its diagnosis is made on clinical backgrounds. Most patients diagnosed are under 4 years of age. Here, we report a case of KD in an adult presented with clinical features of fever, headache,

and

skin rash. A 26-year-old male was presented with fever and headache of four days' duration and skin rash of three days' duration. Nausea and vomiting developed and the patient was treated with antibiotics under the impression of aseptic

meningitis

and

became afebrile two days later. Laboratory findings revealed thrombocytosis, atypical lymphocytes, and elevated liver enzymes. Kawasaki disease was diagnosed, and intravenous immunoglobulin and low-dose aspirin (200mg/d) was administered.

Echocardiogram

did not reveal any coronary artery changes and the skin lesions disappeared. The patient was discharged after near normalization of the liver enzymes and is now being followed at our clinic.
Keywords
Kawasaki diseaseadultmeningitisintravenous immunoglobulinhepatic dysfunction
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Allergy
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