Why the study?
Incomplete Kawasaki disease does not satisfy standard diagnostic criteria but can cause coronary aneurysms.
Incomplete Kawasaki disease can cause coronary aneurysms even when presenting with only a single principal symptom (fever).
Clinicians should consider coronary imaging in prolonged fever even without classic features; this case leaves open revised diagnostic thresholds.
Incomplete Kawasaki disease (iKD), which does not satisfy the standard KD diagnostic criteria because the required number of principal symptoms is not met, sometimes causes coronary aneurysms. Here we report the case of a patient with iKD who presented with only one principal symptom that resulted in the development of coronary aneurysm, as evidenced by angiography.
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Uchida et al. (2019) studied this question.
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