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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X

Abstract

RABADAN VELASCO, Ana Isabel; RECIO LINARES, Aránzazu; CABELLO GARCIA, Inmaculada  and  CRESPO RUPEREZ, Esther. Early detection of and management of Kawasaki disease: the undetected incomplete Kawasaki disease. Rev Clin Med Fam [online]. 2012, vol.5, n.3, pp.212-215. ISSN 2386-8201.  http://dx.doi.org/10.4321/S1699-695X2012000300012.

Incomplete Kawasaki disease (KD) means the non-compliance with all diagnostic criteria of complete Kawasaki, or mucocutaneous lymph node syndrome, with the presence of fever lasting at least five days and two or three clinical criteria, as well as a series of laboratory criteria. Complications do not differ from the complete syndrome, which is why these patients are subject to the same risk of developing cardiovascular disorders such as aneurysms, coronary arteritis, decreased ejection fraction in the left ventricle or pericardial effusion. Several studies have shown an inefficient diagnosis of incomplete KD and consequently, a greater frequency of echocardiographic alterations. The case of a patient with a fever lasting five days and a generalized rash is reported, who subsequently develops testicular pain, perineal erythema, enanthema and a bloodshot appearance, who was finally diagnosed with incomplete KD.

Keywords : Mucocutaneous Lymph Node Syndrome; Arteritis; Exanthema.

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