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Incomplete Kawasaki disease with peripheral facial nerve palsy and giant coronary artery aneurysm: rare case report

Published online by Cambridge University Press:  19 February 2025

Muhammad I. Prayudijanto Open the ORCID record for Muhammad I. Prayudijanto [Opens in a new window] ,
Suprohaita R. Talib ,
Syarif Rohimi ,
Winda Azwani ,
Pandu C. Lestari ,
Citra Raditha ,
Anna Tjandrajani ,
Rizky Adriansyah  and
Najib Advani
Muhammad I. Prayudijanto*
Affiliation:
Intern General Practitioner, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Suprohaita R. Talib
Affiliation:
Pediatric Cardiology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Syarif Rohimi
Affiliation:
Pediatric Cardiology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Winda Azwani
Affiliation:
Pediatric Cardiology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Pandu C. Lestari
Affiliation:
Pediatric Neurology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Citra Raditha
Affiliation:
Pediatric Neurology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Anna Tjandrajani
Affiliation:
Pediatric Neurology Division of Child Health Medical Staff Group, Harapan Kita National Women and Children Health Center, West Jakarta, Indonesia
Rizky Adriansyah
Affiliation:
Cardiology Division, Department of Child Health, Adam Malik Hospital, Medan, Indonesia
Najib Advani
Affiliation:
Cardiology Division, Department of Child Health, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
*
Corresponding author: Muhammad I. Prayudijanto; Email: [email protected]
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Abstract

Kawasaki disease is an idiopathic vasculitis that involves the participation of various physiological systems and the inflammation of small-to medium-sized arteries, resulting in the formation of aneurysms. It most commonly affects children under 5 years. The development of coronary artery aneurysms is a significant concern in the context of Kawasaki disease, rendering it the prevailing acquired cardiac condition among children. It has been observed that 1–30% of Kawasaki illness patients experience neurological complications. However, facial nerve palsy is uncommon, with a prevalence of only 0.9%. Infants with Kawasaki disease and facial nerve palsy tend to be under 6 months of age and had a higher chance to develop coronary artery aneurysms compared to those without facial nerve palsy whose condition was never treated.

Keywords

Incomplete Kawasaki diseaseperipheral facial nerve palsygiant coronary artery aneurysm
Type
Brief Report
Information
Cardiology in the Young , First View , pp. 1 - 4
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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