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2015 ; 80
(ä): 526-8
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Kawasaki Disease: Diagnosis and Follow-Up by CT Coronary Angiography with the Use
of 128-Slice Dual Source Dual Energy Scanner A Case Report
#MMPMID26688702
Ghareep AN
; Alkuwari M
; Willington F
; Szmigielski W
Pol J Radiol
2015[]; 80
(ä): 526-8
PMID26688702
show ga
BACKGROUND: Kawasaki Disease (KD) is a rare acute febrile illness due to
multi-organ vasculitis. It most often affects children under five years of age.
Coronary artery aneurysms are seen in about 25% of children with KD. Selective
invasive coronary angiography was considered to be the gold standard for
diagnosis and follow-up of coronary artery aneurysms, thrombosis and stenosis in
patients with KD. Echocardiography is a non-invasive tool for imaging of this
condition but it does have some limitations. Recently, a high-quality multislice
CT coronary angiography has been advocated in the diagnosis of KD. CASE REPORT:
We report a case of a 5-year-old boy who was diagnosed with Kawasaki disease and
followed up by CT coronary angiography, which provided required excellent imaging
findings in the terms of the number, size and location of coronary aneurysms.
CONCLUSIONS: Based on imaging results of our case it can be stated that
high-quality CT coronary angiography with the use of multi-slice dual source
ultra-fast scanner can be considered a better and safer non-invasive diagnostic
tool, an alternative to invasive catheter selective coronary angiography in the
diagnosis and long-term follow-up of patients with KD, especially when
echocardiographic images are limited or technically challenging.