Recidiva da doença de Kawasaki

Abstract

Objectives

To draw attention to the characteristics, the diagnostic criteria and the possibility of relapse of the acute phase of the Kawasaki disease, and its possible complications. Method: Case report of a boy registered at Hospital Universitário de Brasília under medical record number 400682, and review of the literature. Results: The patient relapsed, with clinical aspects of the disease recurring after disappearance of signs and symptoms of the acute phase. The condition was complicated with aneurysm of the left coronary artery. Conclusion: The diagnosis of Kawasaki disease is based on clinical findings. Pediatricians should always be alert to the diagnostic criteria since this is a disorder that may lead to heart complications after the acute phase or recurrence. These cardiac complications may lead to death in 2% of the patients.

Results

The patient relapsed, with clinical aspects of the disease recurring after disappearance of signs and symptoms of the acute phase. The condition was complicated with aneurysm of the left coronary artery. Conclusion: The diagnosis of Kawasaki disease is based on clinical findings. Pediatricians should always be alert to the diagnostic criteria since this is a disorder that may lead to heart complications after the acute phase or recurrence. These cardiac complications may lead to death in 2% of the patients.

Conclusion

The diagnosis of Kawasaki disease is based on clinical findings. Pediatricians should always be alert to the diagnostic criteria since this is a disorder that may lead to heart complications after the acute phase or recurrence. These cardiac complications may lead to death in 2% of the patients.

Resumen

Objetivos

chamar a atenção dos pediatras para as características clínicas, critérios diagnósticos e a possibilidade de recorrência da fase aguda da Doença de Kawasaki e suas possíveis complicações.

Métodos

descrição de um caso registrado no Hospital Universitário de Brasília, em prontuário nº 40.0682 e revisão bibliográfica.

Resultado

relato de caso de um menino que, após o desaparecimento dos sinais e sintomas de fase aguda, recidivou todo o quadro clínico da doença, vindo a ter, como complicação, aneurisma de coronária esquerda.

Conclusão

o diagnóstico da Doença de Kawasaki é clínico, devendo o pediatra estar sempre atento para os critérios do diagnóstico, por se tratar de doença que cursa com complicações cardíacas na fase aguda e com muito mais freqüência na sua recorrência. Essas complicações cardíacas levam ao óbito 2% dos pacientes.