Very early development of typical signs of Kawasaki Disease with transient coronary involvement.

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Danilo Buonsenso
Sebastian Cristaldi
Antonino Reale
Isabella Tarissi de Jacobis
Laura Granata
Alessandra Marchesi


kawasaki disease, coronary artery


Kawasaki disease (KD) is an acute, self-limited, inflammatory disease affecting medium-sized arteries and particularly the coronary arteries in about 25% of untreated cases. KD is a clinical diagnosis based on the presence of ?5 days of fever and the presence of ?4 of the 5 principal clinical criteria. We described, for the first time to our knowledge, a case of a very early development (on day 1) of typical KD with transient coronary involvement, diagnosed on day 2 of disease and treated with aspirin and steroids on day 3, with complete resolution of clinical signs and coronary involvement.


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