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Similar Publications

Nail pitting in an infant with Kawasaki disease-A novel clinical finding.

Int J Rheum Dis

September 2024

Pediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Article Synopsis
  • Kawasaki disease can cause various nail changes in children, such as Beau's lines, leukonychia, and orange-brown chromonychia during recovery.
  • Nail pitting, which is common in other conditions, is rare in Kawasaki disease cases.
  • The text presents a unique case of nail pitting occurring in a child with Kawasaki disease.
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Kawasaki disease (KD) is an acute medium-vessel vasculitis, mainly affecting infants older than six months and children under five years. It predisposes to the development of coronary artery aneurysms and constitutes the leading cause of acquired heart disease in children. Its diagnosis is based on clinical criteria, namely, fever lasting for ≥ five days together with at least four of the five principal clinical features of the disease.

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Kawasaki disease (KD) is vasculitis of unknown etiology in infants and young children. The diagnostic criteria for KD include major and minor symptoms, but various nail lesions are not described in detail. The aim of this study was to identify symptoms that are relatively found in nail of KD as diagnostic markers.

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Orange-brown chromonychia in Kawasaki disease.

Arch Dis Child

September 2015

Murdoch Childrens Research Institute, Parkville, Victoria, Australia Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia Department of Paediatrics, Monash University, Clayton, Victoria, Australia.

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