
Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease
Author(s) -
Yunxia Gao,
Yifan Zhang,
Fang Yuan Lu,
Xiaoyue Wang,
Ming Zhang
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000010974
Subject(s) - medicine , kawasaki disease , girl , enophthalmos , presentation (obstetrics) , dermatology , systemic disease , retinal vasculitis , retinitis , surgery , eye disease , vasculitis , posterior segment of eyeball , disease , pediatrics , diplopia , pathology , psychology , developmental psychology , virus , artery , virology , human cytomegalovirus
Kawasaki disease is a necrotizing vasculitis featuring fever, erythema, conjunctivitis, and lymphadenopathy. Ocular manifestations in Kawasaki disease are commonly limited to anterior segment, posterior segment lesions are rarely reported. Case presentation: We report a unique case of ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease. An 11-year-old Asian girl presented with severe enophthalmos, retinitis, retinal detachment, and choroidal detachment secondary to an unexplained fever for 10 days. Conclusion: To the best of our knowledge, this is the first documented case of incomplete Kawasaki disease with severe posterior segment lesions. The local use of dexamethasone in the eye was effective in our patient. Surgical intervention might not be necessary even though the initial symptoms could be devastating. The eye should be monitoring the eye routinely in patients with Kawasaki disease.