Why the study?
Kawasaki disease is typically diagnosed in childhood and requires early treatment to prevent complications, but it may present as acute coronary syndrome in adulthood if undiagnosed.
Highlights the importance of considering undiagnosed childhood Kawasaki disease in young adults presenting with acute coronary syndrome and coronary dilations.
Adult Kawasaki disease may underlie ACS with coronary dilations; this case leaves open prevalence and management questions.
Kawasaki disease is a vasculitis, usually diagnosed in childhood, for which reason treatment should be started as early as possible, to avoid complications. We present the case of a 37-year-old man with anterior chest pain, with coronary character, without known cardiovascular risk factors, and who, following investigations, is directed to emergency angio-coronarography due to acute coronary syndrome. Here, we highlight the characteristic coronary dilations for Kawasaki disease. It is released in very good general condition, with proper treatment.
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Puia et al. (2021) studied this question.
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