AI Article Synopsis
- A 21-month-old girl experienced sudden eye misalignment (esotropia) accompanied by fever, conjunctivitis, and rash.
- After developing cardiogenic shock, she was diagnosed with incomplete Kawasaki disease due to the presence of multiple coronary artery aneurysms.
- Treatment with aspirin, infliximab, and intravenous immunoglobulin led to significant improvement in her eye condition, highlighting the potential for abducens nerve palsy as a rare but serious sign of Kawasaki disease.
Article Abstract
A 21-month-old girl presented with acute-onset esotropia with unexplained fever, conjunctivitis, and rash. Sensorimotor examination revealed the presence of a left abducens nerve palsy. After cardiogenic shock, she was found to have multiple large coronary artery aneurysms and was diagnosed with incomplete Kawasaki disease. The patient eventually had near-resolution of her abducens nerve palsy with treatment for her underlying Kawasaki disease through aspirin, infliximab, and intravenous immunoglobulin therapy. Abducens nerve palsy is a rare manifestation of Kawasaki disease that may reflect a late diagnosis and an increased risk of coronary artery involvement.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jaapos.2024.104061 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!