Characteristics of cervical computed tomography findings in kawasaki disease: a single-center experience.

Abstract:

PURPOSE:The objective of this study was to characterize cervical computed tomography (CT) findings in Kawasaki disease (KD) patients that may facilitate early diagnosis. METHODS:We retrospectively reviewed cervical CT images of 78 children with cervical lymphadenopathy to analyze the distribution and morphology of lymphadenopathy and other soft-tissue findings. RESULTS:Twenty-eight patients were diagnosed with KD. Fifty had other diseases (non-KD). Retropharyngeal edema was observed in 82% (23/28) of KD and 30% (15/50) of non-KD (P < 0.01) cases. Retropharyngeal lymphadenopathy was observed in 89% (25/28) of KD and 48% (24/50) of non-KD (P < 0.01) cases. Levels III and IV lymphadenopathy was found in only 1 KD case, whereas levels III and IV lymphadenopathy was found in 58% (29/50) (P < 0.01) and 36% (18/50) (P < 0.01) of non-KD cases, respectively. CONCLUSIONS:Retropharyngeal lymphadenopathy and retropharyngeal edema are relatively common features of KD on CT. Given the potentially serious complications of KD, this diagnosis is an important consideration in a young child presenting with these imaging findings.

journal_name

J Comput Assist Tomogr

authors

Katsumata N,Aoki J,Tashiro M,Taketomi-Takahashi A,Tsushima Y

doi

10.1097/RCT.0b013e31829d1965

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

681-5

issue

5

eissn

0363-8715

issn

1532-3145

pii

00004728-201309000-00006

journal_volume

37

pub_type

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