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Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease

Kawasaki disease is an acute systemic vasculitis and is the leading cause of acquired cardiac disease in children. Among the ocular manifestations in these patients, bilateral non-suppurative conjunctival injection and uveitis are the most common. We describe a six-year-old Costa Rican girl with acu...

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Autores principales: Montenegro-Villalobos, Jiulliana, Miranda-Jiménez, Brian, Ávila-Aguero, María L, Ulloa-Gutierrez, Rolando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7470662/
https://www.ncbi.nlm.nih.gov/pubmed/32905384
http://dx.doi.org/10.7759/cureus.10212
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author Montenegro-Villalobos, Jiulliana
Miranda-Jiménez, Brian
Ávila-Aguero, María L
Ulloa-Gutierrez, Rolando
author_facet Montenegro-Villalobos, Jiulliana
Miranda-Jiménez, Brian
Ávila-Aguero, María L
Ulloa-Gutierrez, Rolando
author_sort Montenegro-Villalobos, Jiulliana
collection PubMed
description Kawasaki disease is an acute systemic vasculitis and is the leading cause of acquired cardiac disease in children. Among the ocular manifestations in these patients, bilateral non-suppurative conjunctival injection and uveitis are the most common. We describe a six-year-old Costa Rican girl with acute Kawasaki disease who developed severe bilateral conjunctival injection with subsequent bilateral subconjunctival hemorrhages. For her ocular involvement, she was treated expectantly, and after six weeks there was complete resolution. To our knowledge, this is the first report from Latin America and among the few in the literature of a child in whom severe bilateral subconjunctival hemorrhages occur as a manifestation of Kawasaki disease.
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spelling pubmed-74706622020-09-04 Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease Montenegro-Villalobos, Jiulliana Miranda-Jiménez, Brian Ávila-Aguero, María L Ulloa-Gutierrez, Rolando Cureus Pediatrics Kawasaki disease is an acute systemic vasculitis and is the leading cause of acquired cardiac disease in children. Among the ocular manifestations in these patients, bilateral non-suppurative conjunctival injection and uveitis are the most common. We describe a six-year-old Costa Rican girl with acute Kawasaki disease who developed severe bilateral conjunctival injection with subsequent bilateral subconjunctival hemorrhages. For her ocular involvement, she was treated expectantly, and after six weeks there was complete resolution. To our knowledge, this is the first report from Latin America and among the few in the literature of a child in whom severe bilateral subconjunctival hemorrhages occur as a manifestation of Kawasaki disease. Cureus 2020-09-02 /pmc/articles/PMC7470662/ /pubmed/32905384 http://dx.doi.org/10.7759/cureus.10212 Text en Copyright © 2020, Montenegro-Villalobos et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Montenegro-Villalobos, Jiulliana
Miranda-Jiménez, Brian
Ávila-Aguero, María L
Ulloa-Gutierrez, Rolando
Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title_full Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title_fullStr Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title_full_unstemmed Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title_short Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease
title_sort subconjunctival acute bilateral hemorrhages due to kawasaki disease in a costa rican girl: an unusual clinical manifestation of the disease
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7470662/
https://www.ncbi.nlm.nih.gov/pubmed/32905384
http://dx.doi.org/10.7759/cureus.10212
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