Monika Kaldararová, Viera Vršanská, Jozef Mašura
It is described a 20-month old male appropriate for age, with negative personal history. He was addmited to hospital with fever, enanthema, exanthema, followed by palmar and plantar skin desquamation, with lymphadenopathy, conjuntivitis and extremely elevated markers of acute inflammatory reaction. Echocardiography on 14th day of illness showed severe aneurysmatic dilatation of the right coronary artery. The patient was evaluated as Kawasaki syndrome. The coronary artery pathological finding was still present after acute phase recovery. It means a high long-term risk for ischemic impairment, or acute coronary artery trombosis and myocardial infarction.