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Atypical Kawasaki syndrome: how many symptoms have to be present?
  1. Conrad Pfafferotta,
  2. Alexander Wirtzfelda,
  3. Bernhard Permanetterb
  1. aI Medical Department, City Hospital, 85049 Ingolstadt, Germany, bCity Hospital, 83512 Wasserburg, Germany
  1. Dr Pfafferott, I Medical Department, Klinikum Ingolstadt, Krumenauerstr. 25, 85049 Ingolstadt, Germany.


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.

  • coronary artery disease
  • myocardial infarction
  • atypical Kawasaki syndrome

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