Lymphoma in Kawasaki Disease: A case report of a rare association

AUTHOR

Aideline Marie T. Singanon-Cagape, MD

KEYWORDS: 

kawasaki disease, mucocutaneous lymph node syndrome, lymphoma, association

ABSTRACT

Kawasaki Disease or mucocutaneous lymph node syndrome is an acute febrile vasculitic disorder of chilldhood. We present a case of a 2-year-old male who initially presented with cervical lymphadenopathy. Symptomatology and diagnostic evaluation led to the diagnosis of Classic Kawasaki Disease. The patient was initially managed with intravenous immunoglobulin and subsequently with Methylprednisolone and Infliximab due to persistence of fever despite changes in management. Cervical enlargement propted bipsy and revealed Hodgkin’s Lymphoma categorized as T-cell Anaplastic Large Cell Lymphoma. Chemotherapy was initiated and improved the patient’s condition.