ABSTRACT
Hyponatremia is one of the common electrolyte disorders that can accompany many diseases. Kawasaki disease is also one of these situations. Kawasaki disease is the most common vasculitis in children under the age of five years and can occur with very different clinical pictures. Since Kawasaki shock syndrome has been described more recently, its unknown features are high. In this case report, we presented a patient who presented to the emergency department with the clinical findings of hyponatremia and was diagnosed with Kawasaki shock syndrome.
Keywords: Kawasaki disease, Kawasaki shock syndrome, hyponatremia
References
1
Tsuji S. Significance of hyponatremia in Kawasaki disease. Pediatr Int. 2020;62:307.
2
Laxer RM, Petty RE. Hyponatremia in Kawasaki disease. Pediatrics. 1982;70:655.
3
Watanabe T, Abe Y, Sato S, Uehara Y, Ikeno K, et al. Hyponatremia in Kawasaki disease. Pediatr Nephrol. 2006;21:778-81.
4
Kanegaye JT, Wilder MS, Molkara D, Frazer JR, Pancheri J, et al. Recognition of a Kawasaki disease shock syndrome. Pediatrics. 2009;123:e783-9.
5
Gámez-González LB, Murata C, Muñoz-Ramírez M, Yamazaki-Nakashimada M. Clinical manifestations associated with Kawasaki disease shock syndrome in Mexican children. Eur J Pediatr. 2013;172:337-42.
6
Robert M. K, Bonita S, Joseph G, Nina F. S. Nelson Textbook Of Pediatrics. 20th ed. Philadelphia: Elsevier; 2016:353-6.
7
UpToDate. Uptodate.com. https://www.uptodate.com/contents/hyponatremia-in-children-etiology-and-clinical-manifestations. Published 2019. Accessed July 12, 2020.
8
Miura K, Harita Y, Takahashi N, Tsurumi H, Yasudo H, et al. Nonosmotic secretion of arginine vasopressin and salt loss in hyponatremia in Kawasaki disease. Pediatr Int. 2020;62:363-70.
9
Ma L, Zhang YY, Yu HG. Clinical Manifestations of Kawasaki Disease Shock Syndrome. Clin Pediatr (Phila). 2018;57:428-35.
10
Lin YJ, Cheng MC, Lo MH, Chien SJ. Early Differentiation of Kawasaki Disease Shock Syndrome and Toxic Shock Syndrome in a Pediatric Intensive Care Unit. Pediatr Infect Dis J. 2015;34:1163-7.
11
Schuster JE, Palac HL, Innocentini N, Rowley AH, Young LT, et al. Hyponatremia Is a Feature of Kawasaki Disease Shock Syndrome: A Case-Control Study. J Pediatric Infect Dis Soc. 2017;6:386-8.
