Published online October 23, 2006
PEDIATRICS Vol. 118 No. 5 November 2006, pp. e1569-e1571 (doi:10.1542/peds.2006-1089)
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EXPERIENCE & REASON

Cervical Spine and Temporomandibular Joint Arthritis in a Child With Kawasaki Disease

Melinda Jen, MDa, Lauren A. Brucia, MDa, Avrum N. Pollock, MDb and Jon M. Burnham, MD, MSCEc,d

a Divisions of General Pediatrics
c Rheumatology, Department of Pediatrics
b Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
d Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

ABSTRACT

Severe neck pain, stiffness, and torticollis in a child with Kawasaki disease commonly represent aseptic meningitis or lymphadenitis. Here we present an unusual case of severe cervical spine and bilateral temporomandibular joint arthritis in a 5-year-old boy with a relapse of Kawasaki disease and coronary artery ectasia. The patient had a favorable response to a second course of intravenous immunoglobulin G and indomethacin therapy, with complete resolution of his symptoms.

Key Words: Kawasaki disease • arthritis • child

Abbreviations: KD, Kawasaki disease • WBC, white blood cell • Ig, immunoglobulin • IVIG, intravenous immunoglobulin G

Accepted Jun 1, 2006.