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A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment
Kawasaki disease is an acute febrile illness that usually occurs in children younger than 5 years of age. The use of intravenous immunoglobulin (IVIG) within the first 10 days of illness has been shown to reduce the incidence of coronary artery aneurysms significantly. The relative roles of repeated...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4137746/ https://www.ncbi.nlm.nih.gov/pubmed/25161773 http://dx.doi.org/10.1155/2014/821812 |
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author | Kim, Ju Young Kim, Hyun Jung |
author_facet | Kim, Ju Young Kim, Hyun Jung |
author_sort | Kim, Ju Young |
collection | PubMed |
description | Kawasaki disease is an acute febrile illness that usually occurs in children younger than 5 years of age. The use of intravenous immunoglobulin (IVIG) within the first 10 days of illness has been shown to reduce the incidence of coronary artery aneurysms significantly. The relative roles of repeated doses of intravenous immunoglobulin (IVIG) are controversial in refractory Kawasaki disease (KD). Most experts recommend the second retreatment with IVIG, 2 g/kg in refractory KD. However, the dose-response effect of the third or fourth IVIG was uncertain. Although there have been a significant number of reports on new therapeutic options for refractory KD, such as steroid, infliximab, methotrexate, and other immunosuppressants, their effectiveness in reducing the prevalence of coronary artery aneurysms was unproven. We present here KD patient with small coronary artery aneurysm who is resistant to the third IVIG and steroid pulse therapy but showed improvement immediately after the infusion of the 4th IVIG on fever day 18. |
format | Online Article Text |
id | pubmed-4137746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-41377462014-08-26 A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment Kim, Ju Young Kim, Hyun Jung Case Rep Cardiol Case Report Kawasaki disease is an acute febrile illness that usually occurs in children younger than 5 years of age. The use of intravenous immunoglobulin (IVIG) within the first 10 days of illness has been shown to reduce the incidence of coronary artery aneurysms significantly. The relative roles of repeated doses of intravenous immunoglobulin (IVIG) are controversial in refractory Kawasaki disease (KD). Most experts recommend the second retreatment with IVIG, 2 g/kg in refractory KD. However, the dose-response effect of the third or fourth IVIG was uncertain. Although there have been a significant number of reports on new therapeutic options for refractory KD, such as steroid, infliximab, methotrexate, and other immunosuppressants, their effectiveness in reducing the prevalence of coronary artery aneurysms was unproven. We present here KD patient with small coronary artery aneurysm who is resistant to the third IVIG and steroid pulse therapy but showed improvement immediately after the infusion of the 4th IVIG on fever day 18. Hindawi Publishing Corporation 2014 2014-08-05 /pmc/articles/PMC4137746/ /pubmed/25161773 http://dx.doi.org/10.1155/2014/821812 Text en Copyright © 2014 J. Y. Kim and H. J. Kim. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Ju Young Kim, Hyun Jung A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title | A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title_full | A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title_fullStr | A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title_full_unstemmed | A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title_short | A Case of Kawasaki Disease with Coronary Aneurysm Responding to the 4th IVIG Treatment |
title_sort | case of kawasaki disease with coronary aneurysm responding to the 4th ivig treatment |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4137746/ https://www.ncbi.nlm.nih.gov/pubmed/25161773 http://dx.doi.org/10.1155/2014/821812 |
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