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• W1999446663 abstract "Learning ObjectivesThe objective of this educational exhibit is to review the current literature on Kawasaki disease and to demonstrate its vascular findings and their various consequences seen on CTA and MRI/MRA.BackgroundKawasaki disease is a self-limiting vasculitis almost always seen in young children that affects predominantly mid-sized arteries. As there is no laboratory test for the disease, the diagnosis is based on clinical symptoms combined with physical examination findings, including mucocutaneous abnormalities and lymph node enlargement. The most serious and well known sequella are due to coronary artery aneuryms. However, aneurysms are also seen in other mid-sized arteries throughout the body. The identification and characterization of these lesser known aneurysms is important to facilitate appropriate follow-up and treatment when necessary. In the past, echocardiography and angiography were the imaging modalities of choice. While echocardiography is still most commonly used to follow coronary artery abnormalities, CTA and MRI/MRA are becoming more popular in evaluating coronary and non-coronary artery aneurysms.Clinical Findings/Procedure DetailsSelected CTA and MRI/MRA cases of patients with a history of Kawasaki disease are presented. Findings including aneurysmal dilatation of coronary, carotid, vertebral, axillary, iliac, abdominal, and extremity arteries are demonstrated. Included are findings illustrating acute and long-term complications in patients managed expectantly and operatively. The current relevant literature regarding Kawasaki disease is reviewed.Conclusion and/or Teaching PointsAfter viewing the exhibit, radiologists should be able to recognize and characterize on CTA and MRI/MRA the following in patients with a history of Kawasaki disease:1Typical and atypical findings in coronary arteries and their complications.2Typical and atypical findings in non-coronary arteries and their complications.3Long-term follow-up appearance of aneurysms that have been managed either expectantly or operatively. Learning ObjectivesThe objective of this educational exhibit is to review the current literature on Kawasaki disease and to demonstrate its vascular findings and their various consequences seen on CTA and MRI/MRA. The objective of this educational exhibit is to review the current literature on Kawasaki disease and to demonstrate its vascular findings and their various consequences seen on CTA and MRI/MRA. BackgroundKawasaki disease is a self-limiting vasculitis almost always seen in young children that affects predominantly mid-sized arteries. As there is no laboratory test for the disease, the diagnosis is based on clinical symptoms combined with physical examination findings, including mucocutaneous abnormalities and lymph node enlargement. The most serious and well known sequella are due to coronary artery aneuryms. However, aneurysms are also seen in other mid-sized arteries throughout the body. The identification and characterization of these lesser known aneurysms is important to facilitate appropriate follow-up and treatment when necessary. In the past, echocardiography and angiography were the imaging modalities of choice. While echocardiography is still most commonly used to follow coronary artery abnormalities, CTA and MRI/MRA are becoming more popular in evaluating coronary and non-coronary artery aneurysms. Kawasaki disease is a self-limiting vasculitis almost always seen in young children that affects predominantly mid-sized arteries. As there is no laboratory test for the disease, the diagnosis is based on clinical symptoms combined with physical examination findings, including mucocutaneous abnormalities and lymph node enlargement. The most serious and well known sequella are due to coronary artery aneuryms. However, aneurysms are also seen in other mid-sized arteries throughout the body. The identification and characterization of these lesser known aneurysms is important to facilitate appropriate follow-up and treatment when necessary. In the past, echocardiography and angiography were the imaging modalities of choice. While echocardiography is still most commonly used to follow coronary artery abnormalities, CTA and MRI/MRA are becoming more popular in evaluating coronary and non-coronary artery aneurysms. Clinical Findings/Procedure DetailsSelected CTA and MRI/MRA cases of patients with a history of Kawasaki disease are presented. Findings including aneurysmal dilatation of coronary, carotid, vertebral, axillary, iliac, abdominal, and extremity arteries are demonstrated. Included are findings illustrating acute and long-term complications in patients managed expectantly and operatively. The current relevant literature regarding Kawasaki disease is reviewed. Selected CTA and MRI/MRA cases of patients with a history of Kawasaki disease are presented. Findings including aneurysmal dilatation of coronary, carotid, vertebral, axillary, iliac, abdominal, and extremity arteries are demonstrated. Included are findings illustrating acute and long-term complications in patients managed expectantly and operatively. The current relevant literature regarding Kawasaki disease is reviewed. Conclusion and/or Teaching PointsAfter viewing the exhibit, radiologists should be able to recognize and characterize on CTA and MRI/MRA the following in patients with a history of Kawasaki disease:1Typical and atypical findings in coronary arteries and their complications.2Typical and atypical findings in non-coronary arteries and their complications.3Long-term follow-up appearance of aneurysms that have been managed either expectantly or operatively. After viewing the exhibit, radiologists should be able to recognize and characterize on CTA and MRI/MRA the following in patients with a history of Kawasaki disease:1Typical and atypical findings in coronary arteries and their complications.2Typical and atypical findings in non-coronary arteries and their complications.3Long-term follow-up appearance of aneurysms that have been managed either expectantly or operatively." @default.
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• W1999446663 date "2010-02-01" @default.
• W1999446663 modified "2023-10-14" @default.
• W1999446663 title "Abstract No. 254 EE: Kawasaki disease: CTA and MRI/MRA findings in coronary and non-coronary arteries" @default.
• W1999446663 doi "https://doi.org/10.1016/j.jvir.2009.12.040" @default.
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