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Mediastinal lymphadenopathy: a variant of incomplete Kawasaki disease
Author(s) -
Marcet J Bosch,
Boira M Peñas,
Créixams X Serres,
Martínez L Inaraja
Publication year - 1998
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1998.tb00932.x
Subject(s) - medicine , kawasaki disease , thrombocytosis , leukocytosis , mediastinal lymphadenopathy , cervical lymphadenopathy , erythrocyte sedimentation rate , lymph , mediastinum , mucocutaneous lymph node syndrome , lymph node , rash , thorax (insect anatomy) , lymphatic disease , lymph node biopsy , radiology , pathology , surgery , biopsy , disease , artery , platelet , anatomy
A 14‐month‐old girl presented with a 4‐d history of fever and generalized exanthema. Four characteristic symptoms of incomplete Kawasaki disease (KD) were present on admission (fever, rash, non‐purulent conjunctival injection, oropharyngeal changes) and then followed by oedema of the hands and feet and mild plantar desquamation. The typical laboratory features of KD, such as elevated erythrocyte sedimentation rate, leukocytosis, thrombocytosis, and positive C‐reactive protein were also seen. Ultrasound examination of the mediastinum revealed the presence of a lymph node, 30 mm in diameter, below the tracheal carina. Thoracic CT scan confirmed the mediastinal lymph node. The patient was treated with aspirin and intravenous γ ‐globulin. Ultrasound study of the mediastinum, which was carried out 6 weeks after hospital discharge, showed that the lymph node had disappeared. This case illustrates that lymph nodes other than cervical lymphadenopathy should be sought when the diagnosis of classical or atypical KD is suspected.