Kawasaki Hastalığında Görülen Sıra Dışı Klinik Durumlar

Kawasaki hastalığı, gelişmiş ülkelerde edinsel kap hastalıklarının en sık sebebidir. Hastalık birçok klinik tablo ile ortaya çıkabilmekte olup hastalığa bağlı en önemli komplikasyon, koroner arter anevrizmasıdır. Ne kadar erken tanı konulursa ve tedaviye başlanırsa, bu komplikasyonun riski de o kadar azalır. Atipik Kawasaki hastalığı, klinik olarak hastalık kriterlerini karşılamayan ve normalde sık görülmeyen veya beklenmeyen organ ve sistem tutulumu olmasıyla karakterizedir. Hastaların yaklaşık % 7-10 kadarında atipik tutulum görülmektedir. Atipik hastalarda, tanının geç konulmasına bağlı koroner arter tutulumu daha sık görülür. Bu makalede, atipik Kawasaki hastalığına bağlı karşılaşılabilinen klinik durumlar, literatür bilgileri eşliğinde incelenmiştir.

Unusual Clinical Conditions in Kawasaki Disease

Kawasaki disease is the most frequent reason for acquired heart diseases in developed countries. The disease may develop with many clinical pictures and the most important disease-related complication is coronary arterial aneurysm. The sooner the diagnosis is made and treatment is initiated, the lower the risk for its complications to arise. Atypical Kawasaki disease is characterized by organ and system involvement, which do not clinically meet the disease criteria, are unexpected or not frequently seen under normal circumstances. Approximately 7-10% of the patients show atypical involvement. In atypical patients, coronary arterial involvement is more frequent as a result of late diagnosis. This article presents the clinical conditions that may be seen as a result of atypical Kawasaki disease in the light of literature data.

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