Abstract

GUZMAN MONTEALEGRE, Jacklyn Cristina; SALDARRIAGA RIVERA, Lina María; CASTRO RODRIGUEZ, Alejandro  and  HENAO VELASQUEZ, Carlos Mario. Kawasaki disease. Report of a rare case in an adult. Rev.Colomb.Reumatol. [online]. 2019, vol.26, n.2, pp.132-136.  Epub May 20, 2020. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2018.03.001.

Kawasaki disease is part of a heterogeneous group of low frequency diseases that are characterized by the presence of inflammation and necrosis of the vascular wall, generating various clinical and pathological manifestations, which compromise medium vessels, and mainly affecting the pediatric population. The case is presented of a 36-year-old man with no relevant past medical history, with a febrile episode of 4 days of onset, together with headache, nausea, and odynophagia with subsequent onset of multiple generalized maculopapular lesions. These resolved with subsequent desquamation of fingers, palms and soles of feet. Non-suppurative bilateral conjunctivitis is documented, as well as involvement of oral mucosa and lips. Skin biopsy reported lymphocytic vasculitis, associated with renal, hepatic and cardiac involvement (dilated cardiomyopathy with depressed ejection fraction). A diagnosis of complete adult Kawasaki disease with atypical manifestations was established. He was treated with methylprednisolone, acetylsalicylic acid 100 mg per day, and a single dose of intravenous IgG immunoglobulin 2 g/kg, and daily dialysis therapy to achieve complete recovery.

Keywords : Kawasaki disease; Adult; Maculopapular rash; Vasculitis; Coronary aneurysms.

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