EXPERIENCE & REASON |
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