Dogan OF; Kara A; Devrim I; Tezer H; Besbas N; Ozen S; Secmeer G; Yorgancioglu C; Boke E.
Department of Cardiovascular Surgery; Hacettepe University Medical Faculty; Ankara; Turkey. ofdogan@hacettepe.edu.tr
We report a case of child-onset Kawasaki disease that presented as a prolonged fever and manifested with coronary aneurysms and peripheral gangrene of the lower limbs. Therapy with intravenous immunoglobulins; corticosteroids; aspirin; anticoagulants; and ilomedine; a prostacyclin analogue; resulted in rapid improvement in the patient s condition without extremity loss. Those treating patients with Kawasaki disease must be aware of possible vascular ischemia in the disease process that is reversible by early intervention treatments; including the use of a prostacycline analogue; that improve quality of life. Dogan OF; Kara A; Devrim I; Tezer H; Besbas N; Ozen S; Secmeer G; Yorgancioglu C; Boke E.
Department of Cardiovascular Surgery; Hacettepe University Medical Faculty; Ankara; Turkey. ofdogan@hacettepe.edu.tr
We report a case of child-onset Kawasaki disease that presented as a prolonged fever and manifested with coronary aneurysms and peripheral gangrene of the lower limbs. Therapy with intravenous immunoglobulins; corticosteroids; aspirin; anticoagulants; and ilomedine; a prostacyclin analogue; resulted in rapid improvement in the patient s condition without extremity loss. Those treating patients with Kawasaki disease must be aware of possible vascular ischemia in the disease process that is reversible by early intervention treatments; including the use of a prostacycline analogue; that improve quality of life.