fa تغییر شکل گازانبری گذرا و منتشر ناخن‌های دست‌وپا در یک شیرخوار سه‌ماهه با بیماری کاوازاکی و درگیری شدید عروق کرونر آناتومی آناتومی گزارش مورد case report <p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA">تغییر شکل گازانبری (</span><font size="2"><font face="Times New Roman"><span dir="ltr">Pincer nail deformity</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"><span dir="rtl"></span>) در بیماری کاوازاکی بندرت اتفاق می‌افتد و وقوع همزمان آن با آنوریسم در عروق کرونر بسیار نادر می‌باشد (1،2). در این مقاله</span><span lang="AR-SA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt">،</span><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> شیرخوار سه‌ماهه‌ای معرفی می‌شود که به علت تب و بی‌حالی و عدم شیر خوردن بستری گردید. در طی بستری</span><span lang="AR-SA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt">،</span><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"> دچار تغییر شکل گازانبری منتشر و گذرا در تمام ناخن‌های دست‌وپا گردید که بعد از چهار روز<font face="Nazanin"><span style="mso-spacerun: yes"><font size="2">  </font></span>و همزمان با درمان بیماری کاوازاکی بهبودی کامل یافت. همچنین در مرحله تحت حاد دچار آنوریسم در عروق کرونر چپ و راست گردید. در بررسی‌های سرپایی یک سال بعد آنوریسم در عروق کرونر کاملاً بهبود یافته بود.<p></p></font></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"><p> </p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt mso-bidi-language: FA"></span></p> <p class="Abstract" style="MARGIN: 0in 0in 0pt" dir="ltr"><p><strong><font face="Times New Roman" size="3"> </font></strong></p></p><p class="Amatnmagale" style="TEXT-ALIGN: justify MARGIN: 0in 0in 0pt" dir="ltr"><font size="3"><font face="Times New Roman"><i><span style="mso-bidi-language: FA"><strong>Background & Aims</strong></span></i><span style="mso-bidi-language: FA">: 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. <p></p></span></font></font></p><p class="Amatnmagale" style="TEXT-ALIGN: justify MARGIN: 0in 0in 0pt" dir="ltr"><font size="3"><font face="Times New Roman"><b><i><span style="mso-bidi-language: FA">Case report</span></i></b><span style="mso-bidi-language: FA">: 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 4^th 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. <p></p></span></font></font></p><p class="Amatnmagale" style="TEXT-ALIGN: justify MARGIN: 0in 0in 0pt" dir="ltr"><font size="3"><font face="Times New Roman"><b><i><span style="mso-bidi-language: FA">Conclusion</span></i></b><span style="mso-bidi-language: FA">: 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.</span></font></font><font size="3"><font face="Times New Roman"><span style="mso-bidi-language: FA"><span style="mso-spacerun: yes">     </span><p></p></span></font></font></p><p align="center" class="Amatnmagale" style="TEXT-ALIGN: center MARGIN: 0in 0in 0pt" dir="ltr"><span style="mso-bidi-language: FA"><p><font face="Times New Roman" size="3"> </font></p></span></p><p align="center" class="Amatnmagale" style="TEXT-ALIGN: center MARGIN: 0in 0in 0pt" dir="ltr"><font size="3"><font face="Times New Roman">SOURCE: URMIA MED J 2015: 25(12): 1081 ISSN: 1027-3727<span lang="FA" style="mso-bidi-language: FA" dir="rtl"><p></p></span></font></font></p> بیماری کاوازاکی, تغییر شکل گازانبری ناخن‌ها, عروق کرونر Kawasaki Disease, Pincer Nail Deformity, Coronary Arteries 1076 1081 http://umj.umsu.ac.ir/browse.php?a_code=A-10-582-558&slc_lang=fa&sid=1 Mohammad Radvar محمد رادور m.radvar@umsu.ac.ir 3700319475328460011292 3700319475328460011292 Yes Assistant Professor, Pediatrics Department , Shahid Motahari Hospital , Urmia University of Medical Sciences,Urmia , Iran دانشگاه علوم پزشکی ارومیه