Peripheral Gangrene Associated with Kawasaki Disease and Successful Management Using Prostacycline Analogue: A Case Report
Autor: | Ateş Kara, Hasan Tezer, Gülten Seçmeer, İlker Devrim, Erkmen Böke, Nesrin Besbas, Cem Yorgancioglu, Seza Ozen, Omer Faruk Dogan |
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Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
Prostacyclin Mucocutaneous Lymph Node Syndrome Gangrene Quality of life Ischemia medicine Humans Disease process cardiovascular diseases Child Leg Aspirin business.industry PERIPHERAL GANGRENE medicine.disease Epoprostenol Surgery Treatment Outcome Intravenous Immunoglobulins Vascular ischemia Female Kawasaki disease Cardiology and Cardiovascular Medicine business Platelet Aggregation Inhibitors medicine.drug |
Zdroj: | The Heart Surgery Forum. 10:E70-E72 |
ISSN: | 1522-6662 1098-3511 |
Popis: | 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. |
Databáze: | OpenAIRE |
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