Two Cases of Adult-onset Kawasaki Disease with a Difficult Diagnosis: A Case Report

We encountered two consecutive cases of adult-onset Kawasaki disease (AKD) that were difficult to diagnose. In both cases, Kawasaki disease was not considered as a differential diagnosis in the early stages. However, it was possible to make a diagnosis by citing the disease as a differential diagnos...

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Veröffentlicht in:Internal Medicine 2023, pp.1204-22
Hauptverfasser: Maeda, Kana, Marutani, Satoshi, Nishi, Kohsuke, Ueshima, Kazushi, Imaoka, Nori, Sugimoto, Keisuke, Inamura, Noboru
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Sprache:eng
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Zusammenfassung:We encountered two consecutive cases of adult-onset Kawasaki disease (AKD) that were difficult to diagnose. In both cases, Kawasaki disease was not considered as a differential diagnosis in the early stages. However, it was possible to make a diagnosis by citing the disease as a differential diagnosis and introducing the patients to the pediatrics department. AKD has a minimal incidence rate and may have a clinical course different from that of childhood-onset Kawasaki disease. Therefore, it is necessary to incorporate Kawasaki disease into the differentiation of an adult fever and to consult with a pediatrician for its diagnosis.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1204-22