Abstract
REGRESSION OF CORONARY ARTERY ANEURYSM POST INTRAVENOUS IMMUNOGLOBULIN (IVIG) AND ASPIRIN TREATMENT WITHIN A MONTH IN CLASSIC KAWASAKI DISEASE IN AN INFANT

Dr. Saiprasad Onkareshwar Kavthekar*

ABSTRACT

Most cases of Kawasaki disease (KD) occur between the ages of 6 months and 8 years and is the leading cause of acquired heart disease in children. KD is generalised systemic vasculitis that affects small to medium sized blood vessels throughout the body however the coronary arteries are involved in the majority of the cases in the form aneurysms. They develop in up to 25% of untreated children however with treatment the risk is reduced to less than 5%. The fact that coronary artery aneurysms (CAA) may undergo regressions /resolutions has been reported. In some patient’s regression occurs dramatically over a short period of time whereas in others it takes over years. Here I report a case where CAA regressed within a month, a very short time, after IVIG and aspirin therapy in classic KD in an infant.

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