Delayed diagnosis of Kawasaki syndrome and thrombosis of a medium-sized aneurysm of the anterior descending coronary artery: case report and literature review.


:A 7-year-old child was first admitted for persistent fever of 15-day duration and suspected meningitis. Kawasaki syndrome was lately diagnosed upon the recognition of an extensive diffuse coronary artery damage characterized by medium-sized aneurysms of the epicardial vessels. An eccentric thrombus along the inferior wall of the left anterior descending artery suspected at transthoracic echocardiography was confirmed by coronary computed tomography angiography scan, without significant segmental stenosis. Strict cardiac surveillance and anticoagulant therapy were maintained, and no ischemic complications occurred at a short-term follow-up. This report emphasizes that thrombosis can be observed even in medium-sized aneurysms when the diagnosis of Kawasaki syndrome is delayed.


Rheumatol Int


De Rosa G,Cefalo MG,Marano R,Piastra M,Delogu AB,Rigante D




Has Abstract


2012-03-01 00:00:00












  • Fibrodysplasia ossificans progressiva without characteristic skeletal anomalies.

    abstract::Fibrodysplasia ossificans progressiva (FOP) is a rare but extremely disabling genetic disease of the skeletal system. This disease is characterized by progression of heterotopic ossification within skeletal muscles, ligaments and tendons. Most patients with FOP are misdiagnosed early in life before the appearance of h...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Ulusoy H

    更新日期:2012-05-01 00:00:00

  • HMG-CoA reductase inhibitor simvastatin suppresses Toll-like receptor 2 ligand-induced activation of nuclear factor kappa B by preventing RhoA activation in monocytes from rheumatoid arthritis patients.

    abstract::To investigate whether anti-inflammatory effects of HMG-CoA reductase inhibitor simvastatin (SMV) in rheumatoid arthritis (RA) is mediated by Toll-like receptor-2 (TLR-2) signal via inhibiting activation of RhoA, a small Rho GTPase that plays an important role in inflammatory responses. Peripheral blood monocytes from...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Lin H,Xiao Y,Chen G,Fu D,Ye Y,Liang L,Fan J,Yang X,Sun L,Xu H

    更新日期:2011-11-01 00:00:00

  • Macrophage activation syndrome in children with systemic juvenile idiopathic arthritis and systemic lupus erythematosus.

    abstract::Macrophage activation syndrome (MAS) is a hyper-inflammatory disorder secondary to a rheumatic disease such as systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus (SLE). We aimed to present the characteristics of our pediatric MAS patients. Clinical features, laboratory parameters, treatment...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Aytaç S,Batu ED,Ünal Ş,Bilginer Y,Çetin M,Tuncer M,Gümrük F,Özen S

    更新日期:2016-10-01 00:00:00

  • Intracardiac thrombus in Behçet's disease: four new cases and a comprehensive literature review.

    abstract::Behçet's disease (BD) is a multisystem inflammatory disorder. Intracardiac thrombus formation (ICTF) is an uncommon but important complication of BD. To highlight recent insights into this disease, we aimed to review ICTF and other systemic involvements associated with ICTF in BD. We conducted a comprehensive review o...

    journal_title:Rheumatology international

    pub_type: 杂志文章,评审


    authors: Aksu T,Tufekcioglu O

    更新日期:2015-07-01 00:00:00

  • Circulating endothelial progenitor cells are reduced in SLE in the absence of coronary artery calcification.

    abstract::Circulating endothelial progenitor cells (EPCs) are reduced in patients with systemic lupus erythematosus (SLE). A reduced number of EPCs are associated with the presence of atherosclerosis in other populations. We sought to determine whether the reduction in EPC numbers in SLE is dependent on the presence of advanced...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Baker JF,Zhang L,Imadojemu S,Sharpe A,Patil S,Moore JS,Mohler ER 3rd,Von Feldt J

    更新日期:2012-04-01 00:00:00

  • Association between daily level of objective physical activity and C-Reactive protein in a representative national sample of adults with self-reported diagnosed arthritis or fibromyalgia.

    abstract:PURPOSE:Examine the association between physical activity and sedentary time with high sensitivity C-Reactive protein levels in adults with arthritis and fibromyalgia. We also investigated the dose of physical activity that was associated with lower clinical levels of high sensitivity C-Reactive protein (< 3 mg/L). MA...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Kingsbury C,Karelis AD,Hains-Monfette G,Bernard P

    更新日期:2020-09-01 00:00:00

  • The tissue architecture of synovial membranes in inflammatory and non-inflammatory joint diseases. I. The localization of the major synovial cell populations as detected by monoclonal reagents directed towards Ia and monocyte-macrophage antigens.

    abstract::Utilizing monoclonal reagents directed towards antigens of the monocyte-macrophage lineage and Ia antigens, the tissue architecture of synovial membranes obtained from patients with non-inflammatory joint diseases and patients with rheumatoid arthritis was studied. Emphasis was placed on the localization of the type I...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Burmester GR,Locher P,Koch B,Winchester RJ,Dimitriu-Bona A,Kalden JR,Mohr W

    更新日期:1983-01-01 00:00:00

  • Comparison of self-report and objective measures of physical activity in US adults with osteoarthritis.

    abstract::To describe levels of daily physical activity and examine the extent of agreement between self-reported and objectively measured indices of physical activity, and characteristics associated with under or overestimated physical activity among persons with osteoarthritis (OA). Using cross-sectional data from the 2003-20...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Liu SH,Eaton CB,Driban JB,McAlindon TE,Lapane KL

    更新日期:2016-10-01 00:00:00

  • Significance of risk factors for osteoporosis is dependent on gender and menopause in rheumatoid arthritis.

    abstract::The aim of our study was to compare the significance of risk factors for osteoporosis according to gender and menopausal state in patients with rheumatoid arthritis (RA). Bone mineral density (dual X-ray absorptiometry), cumulative glucocorticoid dose, age, disease duration, body mass index (BMI) and parameters of dis...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Oelzner P,Schwabe A,Lehmann G,Eidner T,Franke S,Wolf G,Hein G

    更新日期:2008-09-01 00:00:00

  • Is psychological distress intrinsic to fibromyalgia syndrome? Cross-sectional analysis in two clinical presentations.

    abstract::Clinical presentation of fibromyalgia syndrome (FMS) is heterogeneous and often involves psychological comorbidities. Clinical subgrouping of FMS patients has been proposed as a strategy to improve patients' long-term outcomes by helping identify specific treatment needs. Using the 90 Symptom Checklist Revised (SCL-90...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Salgueiro M,Aira Z,Buesa I,Bilbao J,Azkue JJ

    更新日期:2012-11-01 00:00:00

  • Improved rheumatoid digital vasculitis in a patient treated with TNFalpha agent blocking (infliximab).

    abstract::Rheumatoid vasculitis (RV) is an uncommon but potentially catastrophic complication of rheumatoid arthritis (RA). There are few current extensive studies and no consensus regarding the clinical, laboratory, histologic features and management or prognosis of RV. We report a case of RV in a 74-year old woman with a long...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Benucci M,Li Gobbi F,Saviola G,Manfredi M

    更新日期:2008-10-01 00:00:00

  • Stimulation of whole blood cultures in patients with ankylosing spondylitis by a mitogen derived from Mycoplasma arthritidis (MAS) and other mitogens.

    abstract::In this study we compared cytokine production and cell proliferation of immunocompetent cells derived from patients with ankylosing spondylitis (AS) to those from healthy blood donors using a whole blood assay. To this end, blood cell cultures were stimulated with the superantigens MAS (Mycoplasma arthritidis supernat...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Brand JM,Neustock P,Kruse A,Alvarez-Ossorio L,Schnabel A,Kirchner H

    更新日期:1997-01-01 00:00:00

  • Phantom cytomegalovirus infection in vasculitis patients: what it means and what to do.

    abstract::We report our experience and hypothesis on the diagnosis and treatment of patients with vasculitis who are simultaneously diagnosed with serum-positive cytomegalovirus (CMV) immunoglobulin (Ig)M antibodies and negative CMV DNA polymerase chain reaction (PCR). It remains unknown how to treat this kind of "phantom" CMV ...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Katsanos KH,Kostoula A,Katopodis KP,Siamopoulos KC

    更新日期:2005-10-01 00:00:00

  • Color Doppler imaging of ocular hemodynamic changes in patients with rheumatoid arthritis unrelated to disease activity.

    abstract::We aimed to investigate how orbital blood flow rates in patients with rheumatoid arthritis (RA) are affected by the active and remission phase of the disease. This prospective study included a total of 56 patients with RA (study group) and 24 control individuals (control group). All RA patients were divided into two g...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Unal O,Can ME,Ozcan A,Ozcan ME,Erten S,Cagil N

    更新日期:2019-06-01 00:00:00

  • Association between disease activity measured by RAPID3 and health-related quality of life in patients with rheumatoid arthritis.

    abstract::Routine assessment of patient index data 3 (RAPID3) is a simple, valid and reliable tool designed to measure disease activity in patients with rheumatoid arthritis (RA). RA causes significant disability and diminishes health-related quality of life (HR-QoL). The aim of this study was to investigate how RAPID3 is relat...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Qorolli M,Rexhepi B,Rexhepi S,Mustapić M,Doko I,Grazio S

    更新日期:2019-05-01 00:00:00

  • Clinical presentation, imaging and response to interferon-alpha therapy in Erdheim-Chester disease: case-based review.

    abstract::Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis associated with BRAFV600E mutations in more than 50% of cases and presenting with 95% with skeletal lesions. However, cutaneous, pulmonary, large vessels and central nervous system involvement can also occur. We report a case of a 25-year-old wo...

    journal_title:Rheumatology international

    pub_type: 杂志文章,评审


    authors: Iaremenko O,Petelytska L,Dyadyk O,Negria N,Fedkov D

    更新日期:2020-09-01 00:00:00

  • Abdominal aortic aneurysm causing lumbar vertebral erosion in Behçet's disease presenting by low back pain.

    abstract::Behçet's disease (BD) is a chronic multi-system disorder commonly seen in Mediterranean, middle east and far eastern populations. In this report, we describe a case of a 55-year-old male with Behçet's disease who presented with a low back pain and sciatica. Imaging studies showed that he had a destruction of the third...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Örücü M,Keleş D,Peker E,Çakıcı M,Shimbori N,Erden İ,Yazıcıoğlu L,Sonel Tur B

    更新日期:2015-02-01 00:00:00

  • Coexistence of familial Mediterranean fever and psoriasis in a patient with seronegative spondyloarthropathy.

    abstract::Familial Mediterranean fever (FMF) is a self-limited disease characterized by fever and polyserositis attacks. Arthritis caused by synovitis is either in acute monoarthritis or chronic mono-oligoarthritis form, usually affecting the lower extremities. Another potential but rare form of involvement is spondyloarthropat...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Bodur H,Seçkin U,Eser F,Ergül G,Seçkin S

    更新日期:2008-11-01 00:00:00

  • Fibromyalgia in women with ankylosing spondylitis.

    abstract::Fibromyalgia (FM), pre-dominantly found in women, may accompany other pre-existing rheumatic diseases. The association between FM and ankylosing spondylitis (AS) is uncertain. We evaluated FM in women with AS. Eighteen women with AS were compared with 18 men with AS (controls) for age, duration of symptoms, time to di...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Aloush V,Ablin JN,Reitblat T,Caspi D,Elkayam O

    更新日期:2007-07-01 00:00:00

  • Long-term safety and efficacy of low-dose cyclosporin A in severe psoriatic arthritis.

    abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy and tolerability of long-term treatment with cyclosporin A (CsA) in patients with psoriatic arthritis (PsA). METHODS:Sixty patients with PsA were enrolled in a prospective, nonrandomised study of CsA. Patients with hypertension or hypercreatinemia were exclu...

    journal_title:Rheumatology international

    pub_type: 临床试验,杂志文章


    authors: Sarzi-Puttini P,Cazzola M,Panni B,Turiel M,Fiorini T,Belai-Beyene N,Chèrié-Lignièré EL

    更新日期:2002-04-01 00:00:00

  • Clinical utility of the ASDAS index in comparison with BASDAI in patients with ankylosing spondylitis (Axis Study).

    abstract::The objective of the study was to study the clinical utility of the Ankylosing Spondylitis Disease Activity Score (ASDAS) for the assessment of disease activity in ankylosing spondylitis (AS) patients, compared to the Bath Ankylosing Spondylitis Activity Index (BASDAI). This was a prospective longitudinal observationa...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Sellas I Fernandez A,Juanola Roura X,Alonso Ruiz A,Rosas J,Medina Luezas J,Collantes Estevez E,Abad Hernández MÁ,Carrasco Benitez V,Fisac C

    更新日期:2017-11-01 00:00:00

  • ESSDAI activity index of the SJÖGRENSER cohort: analysis and comparison with other European cohorts.

    abstract::The objective of the study was to assess the ESSDAI index characteristics in the SJÖGRENSER cohort (Spanish Rheumatology Association's registry of patients with Primary Sjögren Syndrome [PSS]). SJÖGRENSER is a prospective multicentric study on a cohort of Spanish patients with PSS who meet the 2002 American-European c...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Rosas J,Sánchez-Piedra C,Fernández-Castro M,Andreu JL,Martínez-Taboada V,Olivé A,SJÖGRENSER Group, part of the Spanish Society of Rheumatology Systemic Autoimmune Diseases Study Group (EASSER).

    更新日期:2019-06-01 00:00:00

  • Systemic lupus erythematosus associated with Wells' syndrome.

    abstract::Wells' syndrome is a multifaceted dermatosis with a wide morphological spectrum, ranging from characteristic cellulitis-like erythema and papula to an unusual presentation of vesicles and pustules. The most important elements for diagnosis are erythemal plaques and histological picture of eosinophilic infiltration of ...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Yin G,Xie Q

    更新日期:2012-04-01 00:00:00

  • Efficacy and safety of extending intravenous tocilizumab intervals from 4 to 6 weeks in rheumatoid arthritis patients with good response to 4-week intervals.

    abstract::A period of 4 weeks (w) has been recommended for rheumatoid arthritis (RA) patients as the interval between intravenous (IV) tocilizumab (TCZ, 8 mg/kg). In a previous paper, we showed the possibility that the interval between successive IV TCZ can be extended from 4 to 6 weeks in more than 60% of patients with low dis...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Saiki O,Uda H

    更新日期:2018-12-01 00:00:00

  • Efficacy of EMLA cream phonophoresis comparison with ultrasound therapy on myofascial pain syndrome of the trapezius: a single-blind, randomized clinical study.

    abstract::The aim of this study is to investigate whether eutectic mixture of local anesthetics (EMLA) cream phonophoresis superior to conventional US over the trigger points (TPs) in terms of improvements of pain, range of motion and disability in myofascial pain syndrome (MPS). Fifty patients (42 female, 8 male) diagnosed wit...

    journal_title:Rheumatology international

    pub_type: 杂志文章,随机对照试验


    authors: Ustun N,Arslan F,Mansuroglu A,Inanoglu D,Yagız AE,Guler H,Turhanoglu AD

    更新日期:2014-04-01 00:00:00

  • Cartilage collagen type II seromarker patterns in axial spondyloarthritis and psoriatic arthritis: associations with disease activity, smoking and HLA-B27.

    abstract::The aim of the study was to assess the possible association between type II collagen turnover seromarkers and disease profile in patients with axial spondyloarthritis (SpA) and psoriatic arthritis (PsA). Outpatients with axial SpA (n = 110) or PsA (n = 101) underwent clinical examination including disease activity mea...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Munk HL,Gudmann NS,Christensen AF,Ejstrup L,Sorensen GL,Loft AG,Bay-Jensen AC,Siebuhr AS,Junker P

    更新日期:2016-04-01 00:00:00

  • Synovial tissue rank ligand expression and radiographic progression in rheumatoid arthritis: observations from a proof-of-concept randomized clinical trial of cytokine blockade.

    abstract::The objective of the study was to evaluate synovial tissue receptor activator of nuclear factor-κβ ligand (RANKL) and osteoprotegerin (OPG) as biomarkers of disease activity, progressive joint damage, and therapeutic response, during cytokine blockade in rheumatoid arthritis (RA). Patients with active RA entered a ran...

    journal_title:Rheumatology international

    pub_type: 杂志文章,随机对照试验


    authors: Rooney T,Edwards CK 3rd,Gogarty M,Greenan L,Veale DJ,FitzGerald O,Dayer JM,Bresnihan B

    更新日期:2010-11-01 00:00:00

  • Significance of serum uric acid in pulmonary hypertension due to systemic sclerosis: a pilot study.

    abstract::Systemic sclerosis is a connective tissue disease, which may lead to elevated pulmonary arterial pressure due to pulmonary arterial hypertension and/or left ventricular diastolic dysfunction. Uric acid (UA) has been shown to be elevated in patients with pulmonary hypertension (PH) and heart failure. We aimed to invest...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Dimitroulas T,Giannakoulas G,Dimitroula H,Sfetsios T,Parcharidou D,Karvounis H,Settas L

    更新日期:2011-02-01 00:00:00

  • Paraneoplastic rheumatic syndromes: report of eight cases and review of literature.

    abstract::Malignant neoplasms are associated with a wide variety of paraneoplastic rheumatological syndromes. The paraneoplastic nature should be based on specific criteria. We report a series of eight cases of paraneoplastic rheumatic syndromes revealing an underlying neoplasia. Our series consists of six men and two women, wi...

    journal_title:Rheumatology international

    pub_type: 杂志文章,评审


    authors: Hakkou J,Rostom S,Bahiri R,Hajjaj-Hassouni N

    更新日期:2012-06-01 00:00:00

  • Survival analysis and risk factors for mortality in connective tissue disease-associated pneumomediastinum.

    abstract::The aim of this study was to analyze the characteristics of patients with diffuse connective tissue diseases (CTDs) complicated by pneumomediastinum and identify the risk factors associated with increased mortality in these patients. Twenty-eight patients with CTD-associated pneumomediastinum, who were admitted to our...

    journal_title:Rheumatology international

    pub_type: 杂志文章


    authors: Zhang L,Shen M,Zhang F,Tang F

    更新日期:2014-12-01 00:00:00