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A doenca de Kawasaki e caracterizada por uma vasculite aguda sistemica que ocorre na grande maioria dos casos em criancas menores de cinco anos de idade. A doenca tem curso autolimitado e tratamento baseado no uso de imunoglobulina intravenosa e salicilatos. A principal gravidade se da pelas possiveis complicacoes, sendo a mais grave a formacao de aneurismas de arterias coronarias. O presente trabalho visa relatar o caso de uma paciente que nao recebeu o diagnostico de doenca de Kawasaki na infância. Na vida adulta, durante ecocardiograma diagnosticou-se uma hipocinesia de parede inferior e parte distal do septo inferior. Em posterior angiografia, verificou-se arteria coronaria direita ectasica em toda a sua extensao. Trata-se de um caso raro devido a formacao de aneurismas coronarianos nao tratados, apos anos de doenca, e sua manifestacao isquemica. Palavras-Chave: Sindrome de linfonodos mucocutâneos; Doenca das coronarias; Infarto do miocardio ABSTRACT Kawasaki disease is characterized by the presence of acute systemic vasculitis that occurs in most of cases in children under five years of age. The disease has an auto-limited path and the treatment is based on intravenous immunoglobulin and salicylates. The main gravity is due to the possible complications, and the most serious is the formation of coronary artery aneurysms. The present work aims to report the case of a patient, who did not receive the diagnosis of Kawasaki disease in childhood. In adulthood, an inferior wall hypokinesia and a distal part of the inferior septum were diagnosed by echocardiogram. In a subsequent angiography it was verified a ectasia right coronary artery throughout its extension. This is a rare case due to the formation of untreated coronary aneurysms after years of illness associated with ischemic manifestations. Keywords: Mucocutaneous lymph node syndrome;  Myocardial infarction; Coronary disease

revista ciências em saúde

Infarto agudo do miocárdio silencioso associado a aneurisma de artéria coronária decorrente de doença de Kawasaki: relato de caso / Silent acute myocardial infarction associated with coronary artery aneurysm due to Kawasaki disease: case report