A Child With Epstein-Barr Virus-associated Hemophagocytic Lymphohistiocytosis Complicated by Coronary Artery Lesion Mimicking Kawasaki Disease

作者:Kato Shogo; Yoshimura Ken*; Tanabe Yuko; Kimata Takahisa; Noda Yukihiro; Kawasaki Hirohide; Kaneko Kazunari
来源:Journal of Pediatric Hematology/Oncology, 2013, 35(7): E317-E319.
DOI:10.1097/MPH.0b013e31828e5281

摘要

There is considerable overlap between hemophagocytic lymphohistiocytosis (HLH) and Kawasaki disease (KD) in terms of aberrant immune response though the etiology of KD remains unknown. We present a case fulfilling the criteria of both HLH and KD complicated by coronary artery dilatation: HLH was confirmed to be triggered by Epstein-Barr virus. This case alarms us the possibility that even patients with HLH may be complicated by coronary artery lesion, which is one of the hallmarks of KD. We would like to draw attention that if features of KD become apparent in patients with HLH, echocardiographic examinations should be performed not to miss coronary artery lesion.

  • 出版日期2013-10

全文