It involves the central or peripheral nervous system; occurs rarely during childhood. Isolated acute aseptic meningitis is extremely uncommon. The patient presented acute headache, diplopia, papilla edema, and meningeal irritation. She had a history of recurrent oral ulcers. Brain magnetic resonance imaging revealed pachymeningitis.
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Background: Kawasaki disease KD is a type of systemic vasculitis of unknown etiology. Atypical Kawasaki disease is defined as that where there are signs and symptoms not corresponding to the classical criteria for this nosological entity. Children with atypical Kawasaki disease may present with acute abdominal symptoms, meningeal irritation, pneumonia or renal failure.
Clinical cases: We describe 4 children with ages ranging from 2 to 12 years who had atypical Kawasaki disease, with neurological and gastrointestinal symptoms as part of the systemic presentation of the disease.
Treatment consisted of immunoglobulin and corticosteroids with good evolution. Conclusions: KD is a systemic vasculitis that can involve many territories. Atypical manifestations can mislead the clinician and delay diagnosis. Pediatricians and sub-specialists should be aware of these neurological manifestations in order to provide adequate and opportune treatment.
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Send even when there aren't any new results. Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Cite Favorites. Abstract in English , Spanish. Similar articles Kawasaki disease shock syndrome: Unique and severe subtype of Kawasaki disease. Gamez-Gonzalez LB, et al. Pediatr Int. PMID: Two cases of Kawasaki disease presented with acute febrile jaundice. Kaman A, et al. Turk J Pediatr. Ristovski L, et al.
Med Pregl. Pleural effusion as an atypical presentation of Kawasaki disease: a case report and review of the literature. Arslanoglu Aydin E, et al. J Med Case Rep. Kawasaki disease: part II. Complications and treatment. Bayers S, et al. J Am Acad Dermatol. PMID: Review. Show more similar articles See all similar articles. Cited by 1 article Controversies in diagnosis and management of Kawasaki disease.
Pilania RK, et al. World J Clin Pediatr. Publication types Case Reports Actions. Child Actions. Child, Preschool Actions. Diagnosis, Differential Actions. Drug Therapy, Combination Actions. Humans Actions. Male Actions. Substances Immunoglobulins, Intravenous Actions. Immunosuppressive Agents Actions. Aspirin Actions. Copy Download.
[Neurological Manifestations in Atypical Kawasaki Disease]
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Neuro-Behçet Disease Presented With Pachymeningitis in a Child