경부림프절 종대를 주소로 내원한 가와사키병 2례

Kawasaki disease or mucocutaneous lymph node syndrome is an acute febrile illness with prominent vasculitis features and of unknown cause that affects infant and children. Common symptoms of the disease for which the otolaryngologist may be initially consulted is including an inflammation of the lips and oral cavity and acute cervical lymphadenopathy. We describe two cases of Kawasaki disease that was initially presenting the cervical lymphadenopathy with fever. These cases illustrate the cervical CT scan of homogeneous non-suppurative cervical lymph node enlargement. The otolaryngologist may see these patients in referral and should consider the diagnosis of Kawasaki disease in patient with non-suppurative cervical lymphadenopathy, prolonged fever, signs of mucosal inflammation or rash and they did not response to initial antibiotics administration. (J Clinical Otolaryngol 2002;13:229-233)