A 3-month-old child was first treated for incomplete Kawasaki syndrome with three cycles of intravenous immunoglobulins and aspirin, then with methylprednisolone which led to fever remission. The same child was re-hospitalized after a 10-month-period of well-being for the suspicion of a new episode of Kawasaki syndrome, which appeared to be immunoglobulin-resistant: extensive testing failed to provide an alternative diagnosis of any infectious or infiltrative disease. Diagnosis of systemic onset-juvenile idiopathic arthritis was postulated upon the long persistence of fever and inflammatory signs, which subsided only after starting corticosteroid treatment.

Rigante, D., Valentini, P., Onesimo, R., Angelone, D. F., De Nisco, A., Bersani, I., Delogu, A. B., Incomplete Kawasaki sindrome followed by systemic onset-juvenile idiopathic arthritis mimicking Kawasaki syndrome., <<RHEUMATOLOGY INTERNATIONAL>>, 2010; (30): 535-539 [http://hdl.handle.net/10807/63855]

Incomplete Kawasaki sindrome followed by systemic onset-juvenile idiopathic arthritis mimicking Kawasaki syndrome.

Rigante, Donato;Valentini, Piero;Onesimo, Roberta;Angelone, Donatella Francesca;De Nisco, Alessia;Bersani, Iliana;Delogu, Angelica Bibiana
2010

Abstract

A 3-month-old child was first treated for incomplete Kawasaki syndrome with three cycles of intravenous immunoglobulins and aspirin, then with methylprednisolone which led to fever remission. The same child was re-hospitalized after a 10-month-period of well-being for the suspicion of a new episode of Kawasaki syndrome, which appeared to be immunoglobulin-resistant: extensive testing failed to provide an alternative diagnosis of any infectious or infiltrative disease. Diagnosis of systemic onset-juvenile idiopathic arthritis was postulated upon the long persistence of fever and inflammatory signs, which subsided only after starting corticosteroid treatment.
Inglese
Rigante, D., Valentini, P., Onesimo, R., Angelone, D. F., De Nisco, A., Bersani, I., Delogu, A. B., Incomplete Kawasaki sindrome followed by systemic onset-juvenile idiopathic arthritis mimicking Kawasaki syndrome., <<RHEUMATOLOGY INTERNATIONAL>>, 2010; (30): 535-539 [http://hdl.handle.net/10807/63855]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/63855
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