Incidentally discovered Kawasaki disease in an adult man

Kawasaki Disease with Coronary Ectasia

  • Kamel H. Haider
  • Sultan Abdulwadoud Alshoabi Diagnostic Radiologic Technology, College of Applied Medical Sciences, Taibah University
  • Abdulaziz A. Qurashi Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawarah, Kingdom of Saudi Arabia
  • Abdullgabbar M. Hamid Radiology Department, Rush University Medical Center, Chicago, IL, United States America
Keywords: Adult; Chest pain; Coronary ectasia; Coronary aneurysms; Kawasaki disease

Abstract

Kawasaki disease (KD) is a systemic vasculitis of unknown cause which usually diagnosed in small children. However, KD can be present as coronary disease in adults even with no history of the disease in childhood. Here, we describe a case of KD in a 42-year-old male patient presented with severe retrosternal chest pain radiating to the left arm and provisionally diagnosed as acute coronary disease. Coronary artery ectasia and multiple aneurysms have been confirmed by coronary angiography that led to the diagnosis of KD. The patient was treated with Aspirin 81 mg orally once daily, Apixapan 5 mg orally twice daily, Rosuvastatin 40 mg orally once daily, Bisoprolol 5 mg orally once daily, and omeprazole 20 mg orally once daily. The patient was improved and discharged with anticoagulant drugs for life. Physicians should be aware that KD can be present as coronary disease in adults even with no history of the disease in childhood and has a limited treatment options due to unfavorable coronary anatomy.

doi: https://doi.org/10.12669/pjms.37.7.4199

How to cite this:
Haider KH, Alshoabi SA, Qurashi AA, Hamid AM. Incidentally discovered Kawasaki disease in an adult man. Pak J Med Sci. 2021;37(7):2032-2034. doi: https://doi.org/10.12669/pjms.37.7.4199

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Kamel H. Haider

Cardiology Department, Prince Mohammed Bin Nasser Hospital, Jazan, Kingdom of Saudi Arabia

Abdulaziz A. Qurashi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawarah, Kingdom of Saudi Arabia

Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia

Abdullgabbar M. Hamid, Radiology Department, Rush University Medical Center, Chicago, IL, United States America

Radiology Department, Rush University Medical Center, Chicago, IL, United States America

Published
2021-09-16
How to Cite
Haider, K., Alshoabi, S., Qurashi, A., & Hamid, A. (2021). Incidentally discovered Kawasaki disease in an adult man. Pakistan Journal of Medical Sciences, 37(7). https://doi.org/10.12669/pjms.37.7.4199

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