Heart 1997;78:619-621 ( December )
Case report
Atypical Kawasaki syndrome: how many symptoms have to be present?
a I Medical Department, City Hospital,
85049 Ingolstadt, Germany, b City Hospital, 83512 Wasserburg, Germany
Correspondence to: Dr Pfafferott, I Medical Department, Klinikum Ingolstadt, Krumenauerstr. 25, 85049 Ingolstadt, Germany.
Accepted for publication 21 July 1997
A 20 year old woman with acute myocardial infarction exhibited
a huge aneurysm of the left main coronary artery that was occluded by a
large intraluminal thrombus. After exclusion of other vascular or
systemic diseases, atypical Kawasaki syndrome was diagnosed. Other
major symptoms usually required for this diagnosis were absent. As
patients with Kawasaki syndrome in childhood are surviving longer,
acute coronary symptoms may occur in young adults, and coronary
aneurysms might be the only symptom of atypical Kawasaki syndrome.
© 1997 by Heart
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