Facial Nerve Palsy Complicating Kawasaki Disease

Helen Wright, C. Waddington, J. Geddes, J. Newburger, David Burgner

    Research output: Contribution to journalArticle

    27 Citations (Scopus)

    Abstract

    The diagnosis of Kawasaki disease, the most common cause of pediatric acquired heart disease, is difficult and often delayed for children whose age falls outside the typical range of 6 months to 5 years, especially in those with incomplete Kawasaki disease and atypical features. Delayed diagnosis is associated with an increased incidence of coronary artery pathology. Here we describe 2 cases of lower motor neuron facial nerve palsy complicating Kawasaki disease. In both cases the diagnosis of Kawasaki disease was not made acutely, and both patients developed extensive coronary artery lesions. These cases highlight the importance of considering Kawasaki disease in children with unexplained prolonged fever at any age, particularly those without full diagnostic criteria and with unusual features.
    Original languageEnglish
    Pages (from-to)e783-e785
    JournalPediatrics
    Volume122
    Issue number3
    DOIs
    Publication statusPublished - 2008

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