Rheumatology International

, Volume 30, Issue 4, pp 535–539

Incomplete Kawasaki syndrome followed by systemic onset-juvenile idiopathic arthritis mimicking Kawasaki syndrome

  • Donato Rigante
  • Piero Valentini
  • Roberta Onesimo
  • Donatella Francesca Angelone
  • Alessia De Nisco
  • Giulia Bersani
  • Angelica Bibiana Delogu
Case Report

DOI: 10.1007/s00296-009-0960-1

Cite this article as:
Rigante, D., Valentini, P., Onesimo, R. et al. Rheumatol Int (2010) 30: 535. doi:10.1007/s00296-009-0960-1

Abstract

A 3-month-old child was first treated for incomplete Kawasaki syndrome with three cycles of intravenous immunoglobulins and aspirin, then with methylprednisolone which led to fever remission. The same child was re-hospitalized after a 10-month-period of well-being for the suspicion of a new episode of Kawasaki syndrome, which appeared to be immunoglobulin-resistant: extensive testing failed to provide an alternative diagnosis of any infectious or infiltrative disease. Diagnosis of systemic onset-juvenile idiopathic arthritis was postulated upon the long persistence of fever and inflammatory signs, which subsided only after starting corticosteroid treatment.

Keywords

Kawasaki syndrome Systemic onset-juvenile idiopathic arthritis Immunoglobulin Corticosteroid 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Donato Rigante
    • 1
  • Piero Valentini
    • 1
  • Roberta Onesimo
    • 1
  • Donatella Francesca Angelone
    • 1
  • Alessia De Nisco
    • 1
  • Giulia Bersani
    • 1
  • Angelica Bibiana Delogu
    • 1
  1. 1.Department of Pediatric SciencesUniversità Cattolica Sacro CuoreRomeItaly

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