Læknablaðið : fylgirit - 01.06.1982, Page 27

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Cardiac involvement in Kawasaki disease. Mucocutan-
gpus Lymph Node Syndroms (M.L.N.S.): Case report.
Már H. Tulinius, Björn Guðbrandsson, Ásgeir Jónsson.
St. Joseph's Hospital, Reykjavik.
We are presenting a case of Kawasaki disease
with cardiac involvement diagnosed in Iceland.
Th. K., male, born 26.08 .'77 developed the
c.lassic clinical signs of Kawasaki disease. He had
fever for 11 days and developed bilateral conjunctiv
itis, dryness and redness of the lips, diffuse
reddening of the oral and pharyngeal mucosa, redden-
ing of the palms, a slight truncal macular rash,
benign swelling of the submandibular and cervical
lymph nodes and after the fever subsided desquam-
ation of the fingers and toes. Other significant
findings were acute abdominal pain, diarrhea,
sterile pyuria, meningeal signs, thrombocytosis and
myocarditis. He developed signs of cardiac en-
largement, verified by a chest X-Ray. Echocardio-
graphy showed slight thickening of the ^nter-
ventricular septum, 0,7 cm Cnorm. 0,49 - 0,1) and
the posterior wall of the left ventricle. The
end-diastolic diameter was ^t the upper limits of
normal, 3,5 cm (norm. 3,28 - 0,31). He was
asymptomatic from a cardiac standpoint.
Many recommend further cardiac investigation
for the high risk group including two dimensional
echocardiography and coronary angiography. These
studies have not been performed in our patient,
but he has been followed closely with auscultation,
chest X-Rays and echocardiograms.