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Kawasaki Syndrome – Possible Cause of Cervical Lymphadenitis in Children


Authors: H. Jelínková 1,2;  I. Bártová 1;  V. Němec 3
Authors‘ workplace: Klinika ORL a chirurgie hlavy a krku, Pardubická krajská nemocnice, a. s. ;  přednosta prof. MUDr. V. Chrobok, CSc., Ph. D. Fakulta zdravotnických studií, Univerzita Pardubice 1;  děkan prof. MUDr. A. Pellant, DrSc. Dětské a novorozenecké oddělení, Pardubická krajská nemocnice, a. s. 2;  primář MUDr. V. Němec, Ph. D. 3
Published in: Otorinolaryngol Foniatr, 59, 2010, No. 4, pp. 202-208.
Category: Original Article

Overview

Cervical lymphonoditis is a common event in childhood. In differential diagnostic protocol Kawasaki syndrome (KS) should be considered. The diagnosis of Kawasaki disease is based on presence of diagnostic criteria (dominant symptoms): fever, cervical lymphonoditis, conjunctivitis, stomatitis, skin lesions of palm and sole and red rush. These common nonspecific symptoms have features that are typical for KS. Early diagnosis and onset of treatment (intravenous imunoglobulin administration) prevent from development of coronary complications that could have fatal sequel. We bring a detailed description of the clinical of KS and two case reports.

Key words:
Kawasaki disease (syndrome), vasculitis, coronary aneurysm, fever, exanthema in children, cervical lymphonoditis (lymfadenitis), conjunctivitis, aseptic meningitis, infectious mononucleosis, strawberry tongue, imunoglobuline, infliximab


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Audiology Paediatric ENT ENT (Otorhinolaryngology)
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