Abducens nerve palsy: a rare copresenting sign of incomplete Kawasaki Disease

A 21-month-old girl presented with acute-onset esotropia with unexplained fever, conjunctivitis, and rash. Sensorimotor examination revealed the presence of a left abducens nerve palsy. After cardiogenic shock, she was found to have multiple large coronary artery aneurysms and was diagnosed with inc...

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Veröffentlicht in:Journal of AAPOS 2024-11, p.104061, Article 104061
Hauptverfasser: Lai, Jennifer M., Milner, Dallin C., Frisbie, Ryan, Puente, Michael A.
Format: Artikel
Sprache:eng
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Zusammenfassung:A 21-month-old girl presented with acute-onset esotropia with unexplained fever, conjunctivitis, and rash. Sensorimotor examination revealed the presence of a left abducens nerve palsy. After cardiogenic shock, she was found to have multiple large coronary artery aneurysms and was diagnosed with incomplete Kawasaki disease. The patient eventually had near-resolution of her abducens nerve palsy with treatment for her underlying Kawasaki disease through aspirin, infliximab, and intravenous immunoglobulin therapy. Abducens nerve palsy is a rare manifestation of Kawasaki disease that may reflect a late diagnosis and an increased risk of coronary artery involvement.
ISSN:1091-8531
1528-3933
1528-3933
DOI:10.1016/j.jaapos.2024.104061