ATYPICAL KAWASAKI-SYNDROME - HOW MANY SYMPTOMS HAVE TO BE PRESENT

A 20 year old woman with acute myocardial infarction exhibited a huge aneurysm of the left main coronary artery that was occluded by a large intraluminal thrombus. After exclusion of other vascular or systemic diseases, atypical Kawasaki syndrome was diagnosed. Other major sympto ms usually required for this diagnosis were absent. As patients with K awasaki syndrome in childhood are surviving longer, acute coronary sym ptoms may occur in young adults, and coronary aneurysms might be the o nly symptom of atypical Kawasaki syndrome.