Radvar, M (2015) PINCER NAIL DEFORMITY IN A THREE-MONTH-OLD INFANT WITH KAWASAKI DISEASE AND CORONARY ARTERIES INVOLVEMENT. The Journal of Urmia University of Medical Sciences, 25 (12). pp. 1076-1081.
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Abstract
Kawasaki disease is an acute multisystem vasculitis that primarily occurs in infants and young children. Pincer nail deformity is not from classic signs of Kawasaki disease and its occurrence with Kawasaki disease is rare, and concomitant occurrence of it with coronary artery aneurysm in Kawasaki disease is rarer. Case report: A three-month-old infant was admitted to hospital with history of high fever, poor feeding and ill appearing from three days before. In the 4th day after admission, diffuse pincer nail deformity appeared in all nails of hands and feet. This deformity was transient and after therapy of Kawasaki disease with IVIG, it completely resolved. In sub-acute phase, after resolution of fever, severe aneurysms appeared in right and left coronary arteries, so therapy with warfarin and aspirin were given for patient. In outpatient follow up one year later, fortunately all aneurysms were completely resolved. Conclusion: Pincer nail deformity could be a sign of atypical Kawasaki disease and appearance of this deformity in a patient with Kawasaki disease can be a risk factor for coronary artery involvement.
| Item Type: | Article |
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| Uncontrolled Keywords: | Kawasaki Disease, Pincer Nail Deformity, Coronary Arteries |
| Subjects: | R Medicine > R Medicine (General) |
| Depositing User: | Unnamed user with email gholipour.s@umsu.ac.ir |
| Date Deposited: | 29 Oct 2017 08:12 |
| Last Modified: | 26 Jun 2019 05:27 |
| URI: | http://eprints.umsu.ac.ir/id/eprint/3197 |
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