Volume 25, Number 12 (Monthly-Feb 2015)                   J Urmia Univ Med Sci 2015, 25(12): 1076-1081 | Back to browse issues page


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Radvar M. PINCER NAIL DEFORMITY IN A THREE-MONTH-OLD INFANT WITH KAWASAKI DISEASE AND CORONARY ARTERIES INVOLVEMENT. J Urmia Univ Med Sci. 2015; 25 (12) :1076-1081
URL: http://umj.umsu.ac.ir/article-1-2679-en.html

Assistant Professor, Pediatrics Department Assistant Professor, Pediatrics Department , Shahid Motahari Hospital , Urmia University of Medical Sciences,Urmia , Iran , m.radvar@umsu.ac.ir
Abstract:   (2623 Views)

 

Background & Aims: Kawasaki disease is an acute multisystem vasculitis that primarily occurs in infants and young children. Pincer nail deformity is not from classic signs of Kawasaki disease and its occurrence with Kawasaki disease is rare, and concomitant occurrence of it with coronary artery aneurysm in Kawasaki disease is rarer.

Case report: A three-month-old infant was admitted to hospital with history of high fever, poor feeding and ill appearing from three days before. In the 4th day after admission, diffuse pincer nail deformity appeared in all nails of hands and feet. This deformity was transient and after therapy of Kawasaki disease with IVIG, it completely resolved. In sub-acute phase, after resolution of fever, severe aneurysms appeared in right and left coronary arteries, so therapy with warfarin and aspirin were given for patient. In outpatient follow up one year later, fortunately all aneurysms were completely resolved.

Conclusion: Pincer nail deformity could be a sign of atypical Kawasaki disease and appearance of this deformity in a patient with Kawasaki disease can be a risk factor for coronary artery involvement.    

 

SOURCE: URMIA MED J 2015: 25(12): 1081 ISSN: 1027-3727

Full-Text [PDF 544 kb]   (513 Downloads)    
Type of Study: case report | Subject: آناتومی
Received: 2015/03/3 | Accepted: 2015/03/3 | Published: 2015/03/3

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