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Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!

Kawasaki disease (KD) is the most common pediatric vasculitis with coronary involvement feared as the most serious complication. The reported case describes a child presenting initially with atypical KD and coronary artery aneurysms. He was treated with intravenous immunoglobulin and aspirin. In spi...

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Autores principales: Chaudhuri, Maitri, Jose, Justin, Shenoi, Arvind, Tomar, Munesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457274/
https://www.ncbi.nlm.nih.gov/pubmed/34667422
http://dx.doi.org/10.4103/apc.APC_182_20
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author Chaudhuri, Maitri
Jose, Justin
Shenoi, Arvind
Tomar, Munesh
author_facet Chaudhuri, Maitri
Jose, Justin
Shenoi, Arvind
Tomar, Munesh
author_sort Chaudhuri, Maitri
collection PubMed
description Kawasaki disease (KD) is the most common pediatric vasculitis with coronary involvement feared as the most serious complication. The reported case describes a child presenting initially with atypical KD and coronary artery aneurysms. He was treated with intravenous immunoglobulin and aspirin. In spite of adequate compliance and no clinical recurrence, serial echocardiography revealed nonregression of aneurysm and new-onset moderate aortic regurgitation (AR) in the subacute phase produced by prolapse of noncoronary cusp of the aortic valve. AR without aortic root dilatation from persistent inflammation of the valve leaflets in KD is a rare phenomenon. This case demonstrates unusual cardiac manifestations of KD and reoriented our protocol for long-term surveillance in infantile KD.
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spelling pubmed-84572742021-10-18 Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries! Chaudhuri, Maitri Jose, Justin Shenoi, Arvind Tomar, Munesh Ann Pediatr Cardiol Case Report Kawasaki disease (KD) is the most common pediatric vasculitis with coronary involvement feared as the most serious complication. The reported case describes a child presenting initially with atypical KD and coronary artery aneurysms. He was treated with intravenous immunoglobulin and aspirin. In spite of adequate compliance and no clinical recurrence, serial echocardiography revealed nonregression of aneurysm and new-onset moderate aortic regurgitation (AR) in the subacute phase produced by prolapse of noncoronary cusp of the aortic valve. AR without aortic root dilatation from persistent inflammation of the valve leaflets in KD is a rare phenomenon. This case demonstrates unusual cardiac manifestations of KD and reoriented our protocol for long-term surveillance in infantile KD. Wolters Kluwer - Medknow 2021 2021-04-10 /pmc/articles/PMC8457274/ /pubmed/34667422 http://dx.doi.org/10.4103/apc.APC_182_20 Text en Copyright: © 2021 Annals of Pediatric Cardiology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Chaudhuri, Maitri
Jose, Justin
Shenoi, Arvind
Tomar, Munesh
Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title_full Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title_fullStr Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title_full_unstemmed Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title_short Unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile Kawasaki disease: The heart beyond coronaries!
title_sort unexpected late-onset aortic valvulitis and moderate regurgitation during longitudinal evaluation of atypical infantile kawasaki disease: the heart beyond coronaries!
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457274/
https://www.ncbi.nlm.nih.gov/pubmed/34667422
http://dx.doi.org/10.4103/apc.APC_182_20
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