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KMID : 0854720010210010096
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Korean Journal of Asthma, Allergy and Clinical Immunology
2001 Volume.21 No. 1 p.96 ~ p.102
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A case of kawasaki disease in an adult
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서유진:Suh Yu-Jin
조재웅:Cho Jae-Woong/이진호:Lee Jin-Ho/이규성:Lee Keu-Sung/김선신:Kim Sun-Sin/이수걸:Lee Soo-Keol/홍지만:Hong Ji-Man/김장성:Kim Jang-Sung/정조원:Jung Jo-Won/남동호:Nam Dong-Ho/박해심:Park Hae-Sim
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Abstract
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Kawasaki disease (KD) is an acute vasculitis of undetermined etiology in infancy and early childhood. There is no diagnostic test to confirm this disease and its diagnosis is made on clinical backgrounds. Most patients diagnosed are under 4 years of age. Here, we report a case of KD in an adult presented with clinical features of fever, headache, and skin rash. A 26-year-old male was presented with fever and headache of four days’ duration and skin rash of three days’ duration. Nausea and vomiting developed and the patient was treated with antibiotics under the impression of aseptic meningitis and became afebrile two days later. Laboratory findings revealed thrombocytosis, atypical lymphocytes, and elevated liver enzymes. Kawasaki disease was diagnosed, and intravenous immunoglobulin and low-dose aspirin (200mg/d) was administered. Hocardiogram did not reveal any coronary artery changes and the skin lesions disappeared. The patient was discharged after near normalization of the liver enzymes and is now being followed at our clinic.
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KEYWORD
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Kawasaki disease, adult, meningitis, intravenous immunoglobulin, hepatic dysfunction,
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