Summary
A 4-month-old male infant with acute febrile mucocutaneous lymph-node syndrome developed mitral regurgitation, pericardial effusion and multiple pulsating masses in the upper and lower extremities. Two-dimensional echocardiography demonstrated aneurysms in both coronary arteries. Arteriography of the right arm demonstrated multiple aneurysms. Seventeen months later, arteriography and two-dimensional echocardiography demonstrated regression of the aneurysms. This case provides evidence that regression of aneurysms can occur in mucocutaneous lymph node syndrome.
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References
Brown JS, Billmeier GJ Jr, Cox F, Irahim M, Steep WP, Gibson R (1976) Mucocutaneous lymph node syndrome in the continental United States.J Pediatr 88:81
Carter RF, Haynes ME, Morton J (1976) Rickettsia-like bodies and splenitis in Kawasaki disease.Lancet ii:1254
Dabby CP, Kyong CU (1976) Mucocutaneous lymph node syndrome.JAMA 236:2295
Fujiwara H, Hamashima Y (1978) Pathology of the heart in Kawasaki disease.Pediatrics 61:106
Fukushige J, Nihill MR, McNamara D (1980) Spectrum of cardiovascular lesions in mucocutaneous lymph node syndrome: analysis of eight cases.Am J Cardiol 45:98
Hiraishi S, Yashiro K, Kusano S (1979) Noninvasive visualization of coronary arterial aneurysm in infants and young children with mucocutaneous lymph node syndrome with two dimensional echocardiography.Am J Cardiol 43:1225
Kato H, Koike S, Yamamoto M, Ito Y, Yano E (1975) Coronary aneurysms in infant and young children with acute febrile mucocutaneous lymph node syndrome.J Pediatr 86:892
Kawasaki T (1967) Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the finger and toes in children. [In Japanese.]Jpn J Allerg 16:178
Kawasaki T (1971) Acute febrile mucocutaneous lymph node syndrome and sudden death. [In Japanese.]Acta Pediatr Jpn 75:433
Kugimiya T, Shirabe K, Hadama T, Uchida U, et al (1972) Axillary aneurysm with brachial thrombosis in infancy: successful surgical treatments for a case which occurred after “muco-cutaneo-lymph nodes syndrome”. [In Japanese.]Pediatr Surg Med 5:235
Kusakawa K, Yoshimatsu I, Shibata S, Tamashiro H, Kawasaki T (1979) Recent actual condition of mucocutaneous lymph node syndrome. [In Japanese.]Pediatr Jpn 20:755
Laurel BA, Bruhn FW, Todd JK, Todd WA (1976) Mucocutaneous lymph node syndrome in Denver.Am J Dis Child 130:610
Melish ME, Hicks RM, Larson EJ (1976) Mucocutaneous lymph node syndrome in the United States.Am J Dis Child 130:599
Nagai Y, Ito K, Koguchi H, Asai T, Kusakawa S (1977) Acute febrile mucocutaneous lymph node syndrome with aneurysms in peripheral small arteries. Report of 2 cases. [In Japanese.]Pediatr Jpn 18:73–77
Russel AS, Zargoza AJ, Shea R (1975) Mucocutaneous lymph node syndrome in Canada.Can Med Assoc 112:1210
Valaes T (1975) Mucocutaneous lymph node syndrome in Athens, Greece.Pediatrics 55:295
Yanagisawa M, Kobayashi N, Matsuya S (1974) Myocardial infarction due to coronary thromboarteritis, following acute febrile mucocutaneous lymph node syndrome (MLNS) in an infant.Pediatrics 54:277
Yoshida H, Funabashi T, Nakaya S, Taniguchi N (1979) Mucocutaneous lymph node syndrome. A cross-sectional echocardiographic diagnosis of coronary aneurysms.Am J Dis Child 133:1244
Yoshida S, Karai S, Kosho M, Muraishi Y, Sato K, Oniwa T (1976) Infantile MCLS with coronary and axillary aneurysms. [In Japanese.]Acta Pediat Jpn 80:389
Yoshikawa J, Yanagihara K, Owaki T, Kato H, Takagi Y, Okumachi F, Fukaga T, Tomita Y, Baba K (1979) Cross-sectional echocardiographic diagnosis of coronary artery aneurysms in patients with the mucocutaneous lymph node syndrome.Circulation 59:133A0946015 00008 CS-SPJRNPDF [HEADSUP]
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Harada, K., Uesato, T., Toyoda, H. et al. Acute febrile mucocutaneous lymph node syndrome with multiple aneurysms: Report of a case. Pediatr Cardiol 4, 215–218 (1983). https://doi.org/10.1007/BF02242258
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DOI: https://doi.org/10.1007/BF02242258