The Journal of Clinical Pediatric Rheumatology
Online ISSN : 2434-608X
Print ISSN : 2435-1105
A case of Takayasu arteritis with coronary aneulysm in infant.
Mao MizutaKazuko KasaiYasuo NakagishiMari Miyoshi
Author information
JOURNAL FREE ACCESS

2014 Volume 5 Issue 1 Pages 48-51

Details
Abstract
lt is a case of the 6-month-old girl introduced to our hospital for fever of undetermined origin. She had fever and exanthema,her serum CRP level was high and her echocardiography revealed a coronary aneurysm. At the time, we diagnosed that she was Kawasaki disease. However,enhanced CT performed at day 36 demonstrated vasculitis.Therefore,we decided her diagnosis as Takayasu arteritis,and treated with metylpredorlisolone (mPSL) pulses with anticoagulant therapy. The coronary arteries were extended although inflammation was an improvement tendency,so the treatment of mPSL pulses was canceled,and a treatment of cyclophosphamide pulses was started.    Her clinical and biochemical parameters improved with cyclophospharnide. Although a total of six courses of cyclophosphamide pulse therapies was enforced using azathioprine (AZP)together after that,advance of the narrowing artery of the coronary arteries and others is not accepted by the present. It was the case that the differential diagnosis of Kawasaki disease and Takayasu arteritis was difficult, and the selection of the treatment was not easy to us.
Content from these authors
© 2014 Pediatric Rheumatology Association of Japan
Previous article Next article
feedback
Top