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Sensorineural hearing loss in Kawasaki disease


1 Department of ediatrics, Miami Children's Hospital, Miami Florida; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA
2 Department of ediatrics, Miami Children's Hospital, Miami Florida, USA
3 Department of Pediatric Otolaryngology, Miami Children's Hospital, Miami Florida, USA

Correspondence Address:
Varun Aggarwal
Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.171396

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Year : 2016  |  Volume : 9  |  Issue : 1  |  Page : 87-89

 

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Kawasaki disease is a common nonspecific vasculitis seen in childhood. The most significant long-term sequela is coronary artery aneurysm. However, the spectrum of complications involves not only the heart, but also other organs such as the eyes, skin, kidneys, gallbladder, liver, and central nervous system. Sensorineural hearing loss (SNHL) is a relatively unrecognized complication of the disease. Although most of the complications (except coronary artery aneurysm) are self-limiting, SNHL can be persistent. It is, especially important in infants and young children who might not be able to report the hearing deficits and are most likely to have cognitive and speech delays if this hearing loss is not addressed in a timely manner. We report a child with Kawasaki disease who had SNHL during the 2 nd week of the illness. The aim of this article is to briefly review the pathophysiology behind this hearing loss and strongly emphasize the importance of universal hearing evaluation in all children diagnosed with Kawasaki disease. This screening in children with Kawasaki disease may provide some timely intervention if needed. Since most Kawasaki disease patients will be seen by cardiologists, we hope to create more awareness about this complication to the cardiology community as well.






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1 Department of ediatrics, Miami Children's Hospital, Miami Florida; Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA
2 Department of ediatrics, Miami Children's Hospital, Miami Florida, USA
3 Department of Pediatric Otolaryngology, Miami Children's Hospital, Miami Florida, USA

Correspondence Address:
Varun Aggarwal
Department of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.171396

Rights and Permissions

Kawasaki disease is a common nonspecific vasculitis seen in childhood. The most significant long-term sequela is coronary artery aneurysm. However, the spectrum of complications involves not only the heart, but also other organs such as the eyes, skin, kidneys, gallbladder, liver, and central nervous system. Sensorineural hearing loss (SNHL) is a relatively unrecognized complication of the disease. Although most of the complications (except coronary artery aneurysm) are self-limiting, SNHL can be persistent. It is, especially important in infants and young children who might not be able to report the hearing deficits and are most likely to have cognitive and speech delays if this hearing loss is not addressed in a timely manner. We report a child with Kawasaki disease who had SNHL during the 2 nd week of the illness. The aim of this article is to briefly review the pathophysiology behind this hearing loss and strongly emphasize the importance of universal hearing evaluation in all children diagnosed with Kawasaki disease. This screening in children with Kawasaki disease may provide some timely intervention if needed. Since most Kawasaki disease patients will be seen by cardiologists, we hope to create more awareness about this complication to the cardiology community as well.






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