Kawasaki Disease: Report of Two Cases

Kawasaki disease is a systemic vasculitis. It affects medium-sized arteries most commonly. In developed countries, it is the most common reason for acquired cardiac diseases in children. Etiology and pathogenesis of the disease have not yet been completely clarified. Risk of sudden death or chronic cardiac disease due to coronary artery lesions are highly decreased after intravenous immunoglobulin therapy. Thus, early and correct diagnosis is of utmost importance for favorable outcome. In one of the two cases with Kawasaki disease, left main coronary artery was dilated on the echocardiogram. The other patient had no cardiac lesion. Coronary artery ectasia was observed to be regressed. in this paper, due to the two cases, diagnosis, treatment and. follow-up principles of Kawasaki disease were discussed.