Kawasaki hastalığı: İki olgu sunumu
Küçük Resim Yok
Tarih
2005
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kawasaki hastalığı sistemik bir vaskülittir. En çok orta boy arterleri tutar. Gelişmiş ülkelerde çocuklarda edinsel kalp hastalıklarının en sık nedenidir. Halen etiolojisi ve patogenezi tam aydınlatılmamıştır. Koroner arter etkilenmesine bağlı ani ölüm ve kronik hastalık riski intravenöz immünglobulin tedavisi sonrası belirgin azalmaktadır. Bu nedenle erken ve doğru tanı prognoz açısından çok önemlidir. Kawasaki hastalığı tanısı konan iki olgumuzun birinde ekokardiyogramda sol ana koroner arterde dilatasyon saptandı. Diğer olguda kardiyak lezyon yoktu. Koroner arter ektazisi izlemde geriledi. Bu makalede, iki olgu nedeniyle Kawasaki hastalığı'nın tanısı, tedavi ve izlem ilkeleri tartışılmıştır.
Kawasaki disease is a systemic vasculitis. It affects medium-sized arteries most commonly. in developed countries, it is the most common reason for acquired cardiac diseases in children. Etiology and pathogenesis of the disease have not yet been completely clarified. Risk of sudden death or chronic cardiac disease due to coronary artery lesions are highly decreased after intravenous immunoglobulin therapy. Thus, early and correct diagnosis is of utmost importance for favorable outcome. in one of the two cases with Kawasaki disease, left main coronary artery was dilated on the echocardiogram. the other patient had no cardiac lesion. Coronary artery ectasia was observed to be regressed. in this paper, due to the two cases, diagnosis, treatment and follow-up principles of Kawasaki disease were discussed.
Kawasaki disease is a systemic vasculitis. It affects medium-sized arteries most commonly. in developed countries, it is the most common reason for acquired cardiac diseases in children. Etiology and pathogenesis of the disease have not yet been completely clarified. Risk of sudden death or chronic cardiac disease due to coronary artery lesions are highly decreased after intravenous immunoglobulin therapy. Thus, early and correct diagnosis is of utmost importance for favorable outcome. in one of the two cases with Kawasaki disease, left main coronary artery was dilated on the echocardiogram. the other patient had no cardiac lesion. Coronary artery ectasia was observed to be regressed. in this paper, due to the two cases, diagnosis, treatment and follow-up principles of Kawasaki disease were discussed.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
1
