Kawasaki Hastalığında Görülen Sıra Dışı Klinik Durumlar

Yıl 2020, Cilt: 29 Sayı: 1, 65 - 74, 31.03.2020

Osman Güvenç , Mehmet Burhan Oflaz

https://doi.org/10.17827/aktd.532842

Öz

Kawasaki
hastalığı, gelişmiş ülkelerde edinsel kap hastalıklarının en sık sebebidir. Hastalık
birçok klinik tablo ile ortaya çıkabilmekte olup hastalığa bağlı en önemli
komplikasyon, koroner arter anevrizmasıdır. Ne kadar erken tanı konulursa ve
tedaviye başlanırsa, bu komplikasyonun riski de o kadar azalır. Atipik Kawasaki
hastalığı, klinik olarak hastalık kriterlerini karşılamayan ve normalde sık
görülmeyen veya beklenmeyen organ ve sistem tutulumu olmasıyla karakterizedir. Hastaların
yaklaşık % 7-10 kadarında atipik tutulum görülmektedir. Atipik hastalarda,
tanının geç konulmasına bağlı koroner arter tutulumu daha sık görülür. Bu
makalede, atipik Kawasaki hastalığına bağlı karşılaşılabilinen klinik durumlar,
literatür bilgileri eşliğinde incelenmiştir.

Anahtar Kelimeler

Atipik Kawasaki hastalığı

Kaynakça

• 1. Topçu S, Akgün Doğan Ö, Öz N, Tanır G. Kırk dokuz Kawasaki olgusunun değerlendirilmesi: Bir retrospektif Kohort çalışması. J Pediatr Inf 2014;8:64-70.
• 2. Baker AL, Lu M, Minich LL, Atz AM, Klein GL, Korsin R, et al. Associated symptoms in the ten days before diagnosis of Kawasaki disease. J Pediatr 2009;154(4):592-5.
• 3. Moller JH, Hoffman IE. Pediatric Cardiovascular Medicine. Kato H, Suda K. Kawasaki Disease. Second Edition Wiley-Blackwell 2012:919-37.
• 4. Petrarca L, Nenna R, Versacci P, Frassanito A, Cangiano G, Nicolai A, et al. Difficult diagnosis of atypical Kawasaki disease in an infant younger than six months: a case report. Ital J Pediatr 2017;43(1):30-2.
• 5. Tizard EJ. Complications of Kawasaki disease. Curr Paediatr 2005;15:62-8.
• 6. Kayiran SM, Dindar A, Gurakan B. An evaluation of children with Kawasaki disease in Istanbul: a retrospective follow-up study.Clinics 2010;65(12):1261-5.
• 7. Kocabaş A, Kardelen F, Aldemir-Kocabaş B, Akçurin G, Ertuğ H. Facial nerve palsy and Kawasaki disease. Indian J Pediatr 2014;81(2):186-8.
• 8. Arat C, Acar Y, Türkmenoğlu Y, Sayar T, Hamilçıkan SB, Sazak S, ve ark. Kawasaki hastalığı: 21 olgunun değerlendirilmesi. Cukurova Med J 2016;41(1):97-104.
• 9. Kontopoulou T, Kontopoulos DG, Vaidakis E, Mousoulis GP. Adult Kawasaki disease in a European patient: a case report and review of the literatüre. Journal of Medical Case Reports 2015;75:1-7.
• 10. Aldemir-Kocabaş B, Karbuz A, Karadeniz C, Çiftçi Ö, Özdemir H, Bolkent MG, et al. Another face of Kawasaki disease. Turk J Pediatr 2014;56(4):392-8.
• 11. Binnetoglu A, Baglam T, Demir B, Kecelioglu Binnetoglu K, Sari M. Association Between Atypical/Incomplete Kawasaki Disease and Sensorineural Hearing Loss: A Case Report.Clin Pediatr (Phila) 2016;55(4):380-3.
• 12. Singh S, Gupta D, Suri D, Kumar RM, Ahluwalia J, Das R, et al. Thrombocytopenia as a presenting feature of Kawasaki disease: a case series from North India. Rheumatol Int 2009;30(2):245-8.
• 13. Yılmaz Çiftdoğan Y, Bayram SN, Bulut MO, Levent E, Özyürek R, Vardar F. Ender bulgularla başvuran iki inkomplet Kawasaki hastalığı. Çocuk Enf Derg 2008;2:178-81.
• 14. Shimakawa S, Yamada K, Hara K, Tanabe T, Tamai H. Seizure characteristics in Kawasaki disease.No To Hattatsu 2008;40(4):289-94.
• 15. Erdur CB, Katipoğlu N, Genel F, Özbek E, Özdemir R, Meşe T, ve ark. Akut gastroenterit ve intestinal ödem tablosu ile başvuran ve Kawasaki hastalığı tanısı alan bir infant: Olgu sunumu. İzmir Dr. Behçet Uz Çocuk Hast Dergisi 2014;4(2):148-52.
• 16. Miyahara M, Hirayama M. Kawasaki disease resembling acute colitis. BMJ Case Reports 2013. Doi:10.1136/bcr-2012-007384.
• 17. Bagrul D, Karadeniz EG, Koca S. Gastrointestinal involvement in Kawasaki disease: a case report. Cardiol Young 2018;28(8):1070-3.
• 18. Kaman A, Aydın-Teke T, Gayretli-Aydın ZG, Öz FN, Akcan MÖ, Eriş D, et al. Two cases of Kawasaki disease presented with acute febrile jaundice. The Turkish Journal of Pediatrics 2017;59:84-6. 19. Zulian F, Falcini F, Zancan L, Martini G, Secchieri S, Luzzatto C, Zacchello F. Acute surgical abdomen as presenting manifestation of Kawasaki disease.J Pediatr 2003;142(6):731-5.
• 20. Doksöz Ö, Özdemir R, Meşe T, Yozgat Y, Güven B. Kawasaki hastalığının nadir bir prezentasyonu; Hepatobiliyer tutulum: İki olgu sunumu. J Pediatr Inf 2013;7:118-22.
• 21. Göknar N, Doğan Demir A, Ataman Y, Gökalp S, Öktem F, Kasapçopur Ö. Artrit ve ikter ile başvuran Kawasaki olgusu. Bezmialem Science 2017;5:86-9.
• 22. Eladawy M, Dominguez SR, Anderson MS, Glodé MP. Abnormal liver panel in acute kawasaki disease.Pediatr Infect Dis J 2011;30(2):141-4.
• 23. Perera PJ, Samarasinghe D, Pathirana D, Randeni S, Samdamal LYS. An atypical case of Kawasaki disease presenting with cholestatic jaundice. Sri Lanka Journal of Child Health 2015;44(1):58-60.
• 24. Garnett GM, Kimball S, Melish ME, Thompson KS, Puapong DP, Johnson SM, et al. Appendicitis as the presenting manifestation of Kawasaki disease. Pediatr Surg Int 2014;30(5):549-52.
• 25. Trapani S, Montemaggi A, Simonini G, Calabri GB, Messineo A, Resti M. Surgical abdomen with intestinal pseudo-obstruction as presenting feature of atypical Kawasaki disease. Journal of Peadiatrics and Child Health 2016:1-3.26. Behjati-Ardakani M, Ferdosian F. Multiple giant succular and fusiform right and left coronary artery aneurysms after early and adequate treatment of atypical Kawasaki disease with unusual presentation.Acta Med Iran 2014;52(6):490-2.
• 27. Paç Kısaarslan A, Sözeri B. Pediatrik romatoloji gözüyle Kawasaki hastalığına bakış. Türkiye Klinikleri J Pediatr 2014;23(4):164-74.
• 28. Dionne A, Dahdah N. Myocarditis and Kawasaki disease. Int J Rheum Dis 2017;3:1-5.
• 29. Ravekes WJ, Colan SD, Gauvreau K, Baker AL, Sundel RP, van der Velde ME, et al. Aortic root dilation in Kawasaki disease. Am J Cardiol. 2001;87(7):919-22.
• 30. O'Byrne ML, Cohen MS. Marked eosinophilia in a patient with history of severe atypical Kawasaki disease.Congenit Heart Dis 2013;8(5):130-3.
• 31. Ozdogu H, Boga C. Fatal cardiac tamponade in a patient with Kawasaki disease. Heart Lung 2005;34(4):257-9.
• 32. Okada S, Hasegawa S, Suzuki Y, Matsubara T, Shimomura M, Okuda M, Ichiyama T, Ohga S. Acute pericardial effusion representing the TNF-α-mediated severe inflammation but not the coronary artery outcome of Kawasaki disease. Scand J Rheumatol 2015;44(3):247-52. 33. Öztürk B, Tanır G, Kaman A, Gayretli Aydın ZG, Ertuğrul İ, Teke TA. Kawasaki hastalığı şok sendromu: Bir vaka takdimi. Çocuk Sağlığı ve Hastalıkları Dergisi 2016;59:131-5.
• 34. Yang HF, Chen WL, Chang CN, Chen SJ, Fan HC. Kawasaki disease shock syndrome: Case report.Paediatr Int Child Health 2016;36(1):76-8.
• 35. Chen PS, Chi H, Huang FY, Peng CC, Chen MR, Chiu NC. Clinical manifestations of Kawasaki disease shock syndrome: a case-control study.J Microbiol Immunol Infect 2015;48(1):43-50.
• 36. Sahoo S, Mandal AK. Congestive heart failure - an atypical presentation of Kawasaki disease. Iran J Pediatr 2012;22:428-9.
• 37. Shah I. Kawasaki's disease: An unusual presentation. J Cardiovasc Dis Res. 2012;3(3):240-1.
• 38. Natterer J, Perez MH, Di Bernardo S. Capillary leak leading to shock in Kawasaki disease without myocardial dysfunction. Cardiol Young. 2012;22(3):349-52.
• 39. Kumar N, Mittal MK, Sinha M, Gupta A, Thukral BB. Unusual imaging presentation of infantile atypical Kawasaki disease.Indian J RadioImaging 2016;26(3):373-6.40. Son MB, Newburger JW. Kawasaki disease. Pediatrics in Review 2013;34:151-61.
• 41. Tomita S, Chung K, Mas M, Gidding S, Shulman ST. Peripheral gangrene associated with Kawasaki disease.Clin Infect Dis 1992;14(1):121-6.
• 42. Pucci A, Martino S, Tibaldi M, Bartoloni G. Incomplete and atypical Kawasaki disease: a clinicopathologic paradox at high risk of sudden and unexpected infant death.Pediatr Cardiol 2012;33(5):802-5.
• 43. Javadzadegan H, Baghbani JM, Farhang S. Acute myocardial infarction as the first manifestation of the incomplete Kawasaki disease in a young male. Cardiology in the Young 2009;19:635-7.
• 44. Fulton DR, Newburger JW. Kawasaki disease. Ed. Keane JF, Lock JE, Fyler DC. Nadas’ Pediatric Cardiology. Philadelphia: Saunders Elsevier; 2006:401-13.
• 45. Sumitomo N, Karasawa K, Taniguchi K, Ichikawa R, Fukuhara J, Abe O, et al.Association of sinus node dysfunction, atrioventricular node conduction abnormality and ventricular arrhythmia in patients with Kawasaki disease and coronary involvement.Circ J 2008;72(2):274-80.
• 46. Torun Bayram M, Kır M, Kasap Demir B, Türkmen M, Soylu A, Kavukçu S. Akut piyelonefrit kliniği ile başvuran bir Kawasaki olgusu. Türk Çoc Hast Der 2012;6(3):180-4.
• 47. Büyükkaragöz B, Orak SA, Küçükkonyalı G, Köksal AO, Çaltık Yılmaz A, Özdemir O, ve ark. İlk bulgusu steril piyüri olan bir Kawasaki hastalığı olgusu. Dicle Tıp Derg 2015;42(3):390-3.
• 48. Watanabe T. Kidney and urinary tract involvement in Kawasaki disease. Int J Pediatr 2013. doi: 10.1155/2013/831834.
• 49. Anderson BL, Guiot AB, Timm NL. An atypical presentation of atypical Kawasaki disease.Pediatr Emerg Care 2014;30(7):491-2.
• 50. Chuang GT, Tsai IJ, Lin MT, Chang LY. Acute kidney injury in patients with Kawasaki disease. Pediatric Research 2016;80:224-7.
• 51. Álvarez EP, Rey F, Peña SC, Rubio A, Calvo C, Collado P. Has joint involvement lessened in Kawasaki disease?Reumatol Clin 2017;13(3):145-9.
• 52. Anderson BL, Guiot AB, Nathan LT. An atypical presentation oc atypical Kawasaki disease. Pediatr Emergency Care 2014;30:491-2.
• 53. Lee EY, Oh JY, Chong CY, Choo JT, Mahadev A, Tan NW. A Case of Atypical Kawasaki Disease With Myositis.Glob Pediatr Health 2015:1-6.
• 54. Nofech-Mozes Y, Garty BZ. Thrombocytopenia in Kawasaki disease: a risk factor for the development of coronary artery aneurysms.Pediatr Hematol Oncol 2003;20(8):597-601.
• 55. Palazzi DL, McClain KL, Kaplan SL. Hemophagocytic syndrome after Kawasaki disease. Pediatr Infect Dis J 2003;22(7):663-6.
• 56. Gültekingil A, Bayhan T, Kara A, Şahin M, Bilginer Y, Özen S. Kawasaki disease in two cousins with atypical presentation: Case report. Turkiye Klinikleri J Pediatr 2010;19(4):347-9.
• 57. Doğan V, Karaaslan E, Özer S, Gümüşer R, Yılmaz R. Hemophagocytosis in the acute phase of fatal Kawasaki disease in a 4 month-old girl. Balkan Med J 2016;33:470-2.
• 58. Latino GA, Manlhiot C, Yeung RS, Chahal N, McCrindle BW. Macrophage activation syndrome in the acute phase of Kawasaki disease.J Pediatr Hematol Oncol 2010;32(7):527-31.
• 59. Lee MN, Cha JH, Ahn HM, Yoo JH, Kim HS, Sohn S, et al. Mycoplasma pneumoniae infection in patients with Kawasaki disease.Korean J Pediatr 2011;54(3):123-7.
• 60. Çakan M, Ayaz NA, Keskindemirci G, Genç HS, Bornaun H. İyileşmeyen pnömoni ile başvuran bir atipik Kawasaki hastalığı olgusu. Zeynep Kamil Tıp Bülteni 2017:28-31.
• 61. Yakut K, Ecevit Z, Varan B, Erdoğanİ, Gür Güngör S. Sıradışı bulgularla seyreden Kawasaki hastalığı: İki olgu. Turkiye Klinikleri J Pediatr 2017;26(3):94-8.
• 62. Adib A, Fazel A, Nabavizadeh SH, Alyasin S, Kashef S. Atypical desquamation in a 2.5-year-old boy with Kawasaki disease: A case report.Electron Physician 2017;9(2):3764-7.
• 63. Demir AD, Goknar N, Uzuner S, Vehapoglu A, Saritas T, Oktem F. The different cutaneous presentations in three cases of Kawasaki disease as confounding factorof diagnosis.J Pak Med Assoc 2016;66(9):1188-90.
• 64. Zhu H, Yu SF, Bai YX, Liang YY, Su XW, Pan JY. Kawasaki disease in children: Epidemiology, clinical symptoms and diagnostics of 231 cases in 10 years. Exp Ther Med 2015;10(1):357-61. 65. Kim JS, Kwon SH.Atypical Kawasaki disease presenting as a retropharyngeal abscess.Braz J Otorhinolaryngol 2016;82(4):484-6.
• 66. Ebrahim M, Gabay M, Rivas-Chacon RF. Evidence of acute Mycoplasma infection in a patient with incomplete and atypical kawasaki disease: a case report. Case Rep Med 2011;1-4.
• 67. Kanık A, Eliaçık K, Zengin N, Kuyum P, Kamit F, Bayram SN, ve ark. Menenjit kliniği ile gelen bir Kawasaki olgusu. İzmir Dr. Behçet Uz Çocuk Hast. Dergisi 2011;1(3):137-9.
• 68. Nomura Y, Arata M, Koriyama C, Masuda K, Morita Y, Hazeki D, Ueno K, Eguchi T, Kawano Y. A severe form of Kawasaki disease presenting with only fever and cervical lymphadenopathy at admission. J Pediatr 2010;156(5):786-91.
• 69. Yap CY, Lin LH, Wang NK. An atypical presentation of Kawasaki disease: a 10-year-old boy with acute exudative tonsillitis and bilateral cervical lymphadenitis. Clinics (Sao Paulo)2012;67(6):689-92.
• 70. Kara SS, Güllü UU, Balaban İ. Kawasaki hastalığı: Erzurum ilinde izlenen çocuk hastaların değerlendirilmesi. İzmir Behçet Uz Çocuk Hast Dergisi 2017;7(2):113-20.
• 71. Garrido-García LM, López-Amézquita M, Villaverde-Rosas R.Kawasaki disease in a healthcare provider: an adult case in a paediatric resident.Cardiol Young 2016;26(5):976-8.
• 72. Kara A, Tezer H, Devrim İ, Kılıç Korkmaz E, Karagöz T, Özer S, et al. Kawasaki disease: A case report in extreme of pediatrics. Infect Dis Clin Pract 2006;14:333-4.
• 73. Altunyuva Usta S, Akalın F. Ergenlikte Kawasaki hastalığı. Türk Ped Arş 2013:169-72.
• 74. Nakamura Y, Yashiro M, Uehara R, Watanabe M, Tajimi M, Oki I, et al. Use of laboratory data to identify risk factors of giant coronary aneurysms due to Kawasaki disease. Pediatr Int 2004;46(1):33-8.
• 75. Maddox RA, Holman RC, Uehara R, Callinan LS, Guest JL, Schonberger LB, et al. Recurrent Kawasaki disease: USA and Japan.Pediatr Int 2015;57(6):1116-20.
• 76. See XA, Prakash V, Tan KK. Recurrent Kawasaki disease presenting as acute airway obstruction.Singapore Med J 2012;53(12):264-6.