{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:10:58Z","timestamp":1788966658368,"version":"build-2803163510"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Coronary artery aneurysms (CAAs) are the most serious complication of Kawasaki disease (KD). Delayed diagnosis is associated with an increased risk of CAA, particularly in atypical presentations lacking classic mucocutaneous features. We report four children diagnosed with atypical KD only after coronary abnormalities were detected on echocardiography. Initial presentations included acalculous cholecystitis with marked transaminase elevation, aseptic meningitis, and an inflammatory arthritis. None of the cases had fulfilled complete diagnostic criteria at admission. Coronary imaging showed single- or multi-segment aneurysms ranging from small to giant (maximum\n                    <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                    -score +11.7). All received intravenous immunoglobulin and high-dose acetylsalicylic acid; corticosteroids, anticoagulation, or biologic therapy were added as treatment in cases with giant CAA. CAA persisted in patients with giant aneurysms. Early echocardiography is essential to establish the diagnosis in atypical KD and it may prevent irreversible coronary complications.\n                  <\/jats:p>","DOI":"10.4103\/apc.apc_90_26","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:19:05Z","timestamp":1788949145000},"page":"581-584","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["When coronaries speak last; atypical Kawasaki disease beyond the classical criteria \u2013 A four-case series"],"prefix":"10.4103","volume":"19","author":[{"given":"Arife","family":"Sancaktar","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filiz","family":"Ekici","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firat","family":"Kardelen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Uzunoglu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunus Emre","family":"G\u00fcrhopur","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Cardiology, Akdeniz University Faculty of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"R1-20260909","doi-asserted-by":"crossref","first-page":"e927","DOI":"10.1161\/CIR.0000000000000484","article-title":"Diagnosis, treatment, and long-term management of kawasaki disease: A scientific statement for health professionals from the American Heart Association","volume":"135","author":"McCrindle","year":"2017","journal-title":"Circulation"},{"key":"R2-20260909","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1253\/circj.CJ-19-1094","article-title":"JCS\/JSCS 2020 guideline on diagnosis and management of cardiovascular sequelae in kawasaki disease","volume":"84","author":"Fukazawa","year":"2020","journal-title":"Circ J"},{"key":"R3-20260909","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13052-021-00962-4","article-title":"Revised recommendations of the Italian society of pediatrics about the general management of kawasaki disease","volume":"47","author":"Marchesi","year":"2021","journal-title":"Ital J Pediatr"},{"key":"R4-20260909","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1186\/s12887-024-04961-2","article-title":"Guideline for the diagnosis and treatment of incomplete Kawasaki disease in children in China","volume":"24","author":"Jiao","year":"2024","journal-title":"BMC Pediatr"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_90_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:17:44Z","timestamp":1788963464000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_90_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_90_26","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-03-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}