Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease: A case report.

Abstract:

INTRODUCTION:Kawasaki disease is a necrotizing vasculitis featuring fever, erythema, conjunctivitis, and lymphadenopathy. Ocular manifestations in Kawasaki disease are commonly limited to anterior segment, posterior segment lesions are rarely reported. CASE PRESENTATION:We report a unique case of ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease. An 11-year-old Asian girl presented with severe enophthalmos, retinitis, retinal detachment, and choroidal detachment secondary to an unexplained fever for 10 days. CONCLUSION:To the best of our knowledge, this is the first documented case of incomplete Kawasaki disease with severe posterior segment lesions. The local use of dexamethasone in the eye was effective in our patient. Surgical intervention might not be necessary even though the initial symptoms could be devastating. The eye should be monitoring the eye routinely in patients with Kawasaki disease.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Gao Y,Zhang Y,Lu F,Wang X,Zhang M

doi

10.1097/MD.0000000000010974

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

e10974

issue

22

eissn

0025-7974

issn

1536-5964

pii

00005792-201806010-00078

journal_volume

97

pub_type

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