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Angina pectoris in a young man secondary to undiagnosed childhood mucocutaneous lymph node syndrome
1Pasqua Hospital, Regina, Saskatchewan.
The Canadian Journal of Cardiology
|November 1, 1990
Insights
Adults with undiagnosed childhood Kawasaki disease (KD) can develop angina. Coronary artery bypass surgery effectively treated this rare presentation of KD.
Area of Science:
- Cardiology
- Pediatric Rheumatology
- Vascular Medicine
Background:
- Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
- Cardiac sequelae, including coronary artery aneurysms, can persist into adulthood.
- Adult-onset angina is an uncommon manifestation of undiagnosed childhood KD.
Abstract:
A case of adult onset angina in a patient with previously undiagnosed childhood Kawasaki disease is presented. Evidence to support the diagnosis--such as clinical presentation and pertinent positive and negative laboratory data to rule out other conditions--is provided. The patient was successfully treated with coronary artery bypass surgery.