Late Presentation of Brachial Artery Aneurysm in a Child Affected by Kawasaki Disease—Case Report

AbstractKawasaki disease (KD) is a mucocutaneous lymph node syndrome of unknown cause affecting mainly children younger than 4–5 years. The picture includes a systemic vasculitis with prevalent involvement of coronary arteries, leading to giant aneurysmal dilatation with serious cardiac complications. Peripheral arteries may be affected by aneurysmal degeneration as well. The authors report the case of a 12-year-boy with a history of previous acute KD and late presentation of a left brachial artery aneurysm. The improved results obtained with aspirin and immunoglobulin therapy in the acute phase of Kawasaki disease dramatically reduced mortality and produced longer survivals of these children; late peripheral complications could have higher incidence then previously reported, and lifelong follow-up is advisable