지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 23 - 26 (4page)
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초록· 키워드
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Kawasaki disease (KD) is an acute, systemic vasculitis of childhood. The early mortality of KD results from coronary complications, mainly aneurysmal thrombosis with myocardial infarction, and the subacute phase of KD has the highest risk of mortality. Although there have been reports of ischemic heart disease as late cardiologic sequelae of KD in young adults, acute myocardial infarction caused by coronary complications in the subacute phase of KD is rare. We experienced one pediatric patient who developed coronary artery aneurysm and acute myocardiac infarction (AMI) during the subacute phase of incomplete and intravenous immunoglobulin (IVIG)-nonresponsive KD. The patient was given a good prognosis due to close monitoring and early recognition of AMI. Physicians should carefully monitor KD patients who do not respond to initial IVIG therapy and who show progressive coronary artery dilatation.
If such a patient complaints of chest pain and the ECG shows hyperacute T waves, the physician should suspect development of AMI.
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참고문헌 (20)
참고문헌 신청
Burns JC / 1998 / Intravenous gamma globulin treatment and retreatment in Kawasaki disease. US/ Canadian Kawasaki Syndrome Study Group / Pediatr Infect Dis J 17 : 1144 ~ 114
Burns JC / 2004 / Kawasaki syndrome / Lancet 364 : 533 ~ 544
Choi YS / 2003 / Medicolegal Investigation of Kawasaki Disease: Three cases of sudden death by coronary artery lesions / Korean J Leg Med 27 : 39 ~ 44
Ghelani SJ / 2012 / Increased incidence of incomplete Kawasaki disease at a pediatric hospital after publication of the 2004 American Heart Association guidelines / Pediatr C
Giannouli G / 2013 / Epidemiology and risk factors for coronary artery abnormalities in children with complete and incomplete kawasaki disease during a 10-year period / Pedia
Burns JC / 2004 / Kawasaki syndrome / Lancet 364 : 533 ~ 544
Choi YS / 2003 / Medicolegal Investigation of Kawasaki Disease: Three cases of sudden death by coronary artery lesions / Korean J Leg Med 27 : 39 ~ 44
Ghelani SJ / 2012 / Increased incidence of incomplete Kawasaki disease at a pediatric hospital after publication of the 2004 American Heart Association guidelines / Pediatr C
Giannouli G / 2013 / Epidemiology and risk factors for coronary artery abnormalities in children with complete and incomplete kawasaki disease during a 10-year period / Pedia
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