ArticlePediatric pulmonology2018
Pulmonary presentation of Kawasaki disease-A diagnostic challenge.
Article in Pediatric pulmonology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 53 citations in OpenAlex.
- Extracriteria manifestations in Kawasaki disease: coronary threat or diagnostic pitfall?European journal of pediatrics · 2026Article
- Kawasaki disease shock syndrome with pulmonary involvement in a child: a case report.Frontiers in immunology · 2026Article
- Patterned Clues in an Infant With Annular Rash and Seizures Revealing Kawasaki Disease.Case reports in pediatrics · 2026Article
- Clinical characteristics of Kawasaki disease with pulmonary radiographic abnormalities and its impact on the incidence of coronary artery lesions: a randomized retrospective cohort study.Frontiers in pediatrics · 2025Article
- Development of mild encephalitis with a reversible splenial lesion prior to the diagnosis of Kawasaki disease: a pediatric case report.Frontiers in pediatrics · 2025Article
- Recurrent Kawasaki disease with polyserositis and pulmonary lesions in a 5-year-old boy: a case report.Frontiers in pediatrics · 2025Article
- Unusual Manifestations of Kawasaki Disease in the COVID Era: A Case Series and Review of the Literature.Cureus · 2023Article
- An Update on Reports of Atypical Presentations of Kawasaki Disease and the Recognition of IVIG Non-Responder Children.Diagnostics (Basel, Switzerland) · 2023Review
- Pneumonia in the presentation of Kawasaki disease: The syndrome or a sequence of two diseases?Clinical case reports · 2022Article
- Clinical Manifestations and Laboratory Findings of Kawasaki Disease: Beyond the Classic Diagnostic Features.Medicina (Kaunas, Lithuania) · 2022Review
- Comparison of Laboratory Data between Children with Kawasaki Disease and COVID-19.Children (Basel, Switzerland) · 2022Article
- An atypical case of Kawasaki disease with severe pneumonia in a neonate.BMC pediatrics · 2022Article
- Lipocalin-2-induced proliferative endoplasmic reticulum stress participates in Kawasaki disease-related pulmonary arterial abnormalities.Science China. Life sciences · 2021Article
- Coronary artery aneurysm complicated by pneumothorax with a history of Kawasaki disease.Journal of surgical case reports · 2021Article
- Atypical Kawasaki Disease in an Adolescent with Multivisceral Involvement.Case reports in pediatrics · 2021Article
- Kawasaki Disease Complicated by Late-Onset Fatal Cerebral Infarction: A Case Report and Literature Review.Frontiers in pediatrics · 2021Article
- Pulmonary manifestations of systemic vasculitis in childhood.Breathe (Sheffield, England) · 2020Article
- Hepatic predominant presentation of Kawasaki disease in adolescence case report and review of literature.BMC gastroenterology · 2020Review
- Grisel's syndrome in Kawasaki disease.Orphanet journal of rare diseases · 2020Article
- Kawasaki disease shock syndrome complicated with bilateral lung consolidation in a child: A case report.Medicine · 2020Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesKawasaki disease (KD) is a multisystemic vasculitis with predominant mucocutaneous manifestations. Pulmonary involvement in KD is distinctly uncommon and is not commonly recognized. We describe our experience of managing children with KD wherein the initial presentation was predominantly pulmonary.
methodsSix hundred and two children have been diagnosed with KD during the period January 1993 to May 2017 in the Allergy Immunology Unit, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh. Data were collected from inpatient records in Allergy Immunology Unit and follow-up files in the Pediatric Rheumatology Clinic.
resultsOf 602 children, 11 (1.83%) had a predominant pulmonary presentation of KD. Mean age at diagnosis of KD was 2.5 years. Fever, cough and respiratory distress were the presenting complaints in all patients. First sign of KD was noted at a mean duration of 14.5 days from the onset of symptoms. Periungual desquamation was the most common clinical sign (72.7%). Persistent fever in spite of antimicrobials, thrombocytosis, and elevated erythrocyte sedimentation rate and C-reactive protein levels pointed toward a diagnosis of KD in our patients. Parenchymal consolidation was evident on chest X-ray in all patients, pleural effusion in six, empyema in three, and pneumothorax in two patients. Coronary artery abnormalities were evident in three patients. Intravenous immunoglobulin was given after a mean period of 22.4 days of onset of fever.
conclusionsThe diagnosis of KD is often delayed in children who have a predominantly pulmonary presentation. This can have adverse clinical consequences.
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