Close Menu

Books in a Library

Kawasaki Disease: Opthalmology and Coronary Artery Complications

Journal Authors: 
DOI: 
10.7727/wimj.2016.594

Clinical data

The index case is a 6 years old Afro-caribbean female who had non-specific symptoms of low grade fever, macular popular rash in first week of illness with no subungual peeling or Beau’s lines and general feeling of malaise and lethargy for two weeks. She complained in the 3rd week of poor vision in left eye whilst reading with reduced left visual acuity on examination, which was the only significant finding on examination in a non-immunocompromised child with normal growth parameters. Of negative significance she had no dysrhythmias, cardiac murmurs nor signs of heart failure.

Haematological tests showed an increase in platelet count, Chest X-Ray and Electrocardiogram were normal. Ophthalmological assessment confirmed impaired visual acuity in left eye. Transthoracic Echocardiography confirmed Kawasaki Disease with dilated origin of left coronary artery with diameter of 0.416 cm (Fig. 1), dilated distal left main coronary artery aneurysm with diameter of 0.486cm and dilated anomalous origin right coronary artery with diameter 0.400cm, from one o’clock position (Fig. 3). 

Accepted: 
13 Feb, 2017
PDF Attachment: 
e-Published: 28 Feb, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page