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coronary thrombosis/demam
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A 12-week-old male with a 10-day history of fever.
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Kawasaki disease (KD) is a self-limited vasculitis that can have significant morbidity and even mortality if not identified and treated early. The purpose of this case study is to highlight the importance of keeping KD in the differential diagnosis, even if all clinical criteria are not met. This is
Incomplete Kawasaki disease with development of fatal coronary artery thrombosis in a 13-year-old male.
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Kawasaki disease (KD) is among one of the most common causes of vasculitis in children. Since KD was first described in 1967, there have been several reports of patients who did not meet the full diagnostic criteria for KD but who ultimately developed significant coronary artery lesions. Children
Acute myocardial infarction: an unusual culmination of rheumatic pancarditis and antiphospholipid antibody syndrome.
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A 29-year-old man with history of antiphospholipid antibody syndrome (APS) and two prior episodes of acute rheumatic fever developed a third episode of acute rheumatic fever. This was complicated by acute myocardial infarction due to spontaneous arterial thrombosis of the left anterior descending
Atypical presentation of paroxysmal nocturnal hemoglobinuria treated by eculizumab: A case report.
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Paroxysmal nocturnal hemoglobinuria (PNH) is a nonmalignant acquired hematopoietic stem cell disease, which can be revealed by hemolytic anemia, thromboembolism, or bonemarrow failure. Thrombosis can occur at any site, but coronary thrombosis is extremely rare. Controlled trials have demonstrated
Kawasaki disease associated with hydrops of the gallbladder. A case presentation and review of the literature.
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Mucocutaneous lymph node syndrome is a pediatric illness characterized by fever, conjunctivitis, oropharyngeal lesions, exanthem, peripheral edema, desquamation, and adenopathy. The entity has many possible complications, the most significant of which is coronary artery thrombosis and aneurysm. A
[Urinary trypsin inhibitor as an acute phase reactant].
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Early in this century, trypsin inhibiting activity has already been recognized in patients with acute infection or renal disease. In addition to these, conditions such as coronary thrombosis, surgical operation, artificial fever by heat-killed bacilli, malignancy, leukemia, later stage of normal
Kawasaki Disease.
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Kawasaki disease is an acute vasculitis of unknown cause that occurs predominantly in infants and young children and produces coronary artery aneurysms in approximately 15% to 25% of those affected. In the United States, Kawasaki disease is more commonly the cause of noncongenital heart disease in
Mucocutaneous lymph node syndrome in the United States.
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Sixteen patients with an unusual and distinct symptom complex were encountered during a four-year period. Principal features of this syndrome are (1) fever lasting more than seven days; (2) conjunctival injection; (3) changes in the mouth consisting of erythema of the oropharynx, "strawberry
The preventive and therapeutic impact of antiplatelet agents: past and present.
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Already more than two thousands years ago the Greek physician Hippocrates (V-IV century B.C.) used the extracts of the willow bark to fight fever. At the end of the eighteen hundreds the German chemist Felix Hoffmann obtained acetylsalicylic acid in stable and pure form, and from then on Aspirin
Sudden death in an infant revealing atypical Kawasaki disease.
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We present a case of a 4-month-old girl referred to the emergency department with a provisional diagnosis of acute life-threatening event with a recent episode of heart block and a history of long-lasting fever. Soon after admission, the child suddenly deteriorated rapidly; she became pulseless with
Gemcitabine-induced coronary vasospasm: A case report.
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Gemcitabine is a chemotherapy drug. It is a nucleoside analogue that is usually well tolerated by patients, with myelosuppression (especially thrombocytopenia) as dose-limiting side effect. Other mild to moderate side effects include alopecia, vomiting, nausea, rash, and fever. Coronary ischemia is
Diagnosis and management of Kawasaki disease.
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Kawasaki disease is an acute vasculitis characterized by mucosal inflammation, rash, cervical adenopathy, indurative edema of the hands and feet, and late membranous desquamation of the fingertips. Early cardiac effects include myocarditis (occasionally with congestive heart failure), pericardial
[Kawasaki disease in a young infant: difficulties for diagnosis and early complications].
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We report 1 case of Kawasaki disease in young infant, featuring atypical presentation and severe outcome.
METHODS
A 3-month-old patient was admitted with initial cervical lymphadenitis, and lasting fever. He subsequently developed the classical manifestations of Kawasaki disease. Treatment with
[Kawasaki disease].
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Kawasaki disease (KD), first described in Japan in 1967 by Dr. Tomisaku Kawasaki, is an acute multi system vasculitis of infancy and early childhood characterised by high fever, rash, conjunctivitis, inflammation of the mucous membranes, erythematous induration of the hands and feet and cervical
Extensive coronary aneurysms with thrombosis in resistant Kawasaki disease.
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Giant coronary artery aneurysms that occur in 0.5 to 1% of patients with Kawasaki disease can be fatal if associated with thrombosis. Some patients may show persistent inflammation and fever despite treatment with repeated doses of intravenous immunoglobulin (IVIG), steroids, and aspirin. This
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