Analysis for diagnosis and treatment of incomplete kawasaki disease
10.3760/cma.j.issn.1008-6706.2011.21.003
- VernacularTitle:不完全川崎病的诊断治疗分析
- Author:
Ruigeng WANG
;
Shuzhen DENG
- Publication Type:Journal Article
- Keywords:
Mucocutaneous lymph node syndrome;
Gamma-Globulins;
Aspirin;
Diagnostic errors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(21):2885-2886
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the diagnosis and treatment of incomplete Kawasaki disease.MethodsA retrospective analysis was applied in 39 children patients clinically diagnosed as Kawasaki disease.ResultsThirtynine cases were found to have a high temperature over 5 days( 100％ ),30 patients with bilateral conjunctival congestion (76.9％),28 cases with cherry pink and chapped lips( 71.8％ ),21 patients with erythema multiforme and erythra(53.8％ ),20 cases with hand-foot scleredema(51.3％ )and 10 patients with cervical lymphatic enlargement (25.6％).In addition to the high temperature,22 cases were found to have three classic clinical diagnostic characterstics(56.4％ ),and 17 patients with two classic characterstics(43.6％ ).During the course of disease,C-reactve protein was observed to increase,and erythrocyte sedimentation rate speed up significantly.Intravenous infusion of gamma globulin and oral administration of aspirin was confirmed to be effective for incomplete Kawasaki disease.ConclusionThe careful observation and complete clinical examination was conducive to early diagnosis of incomplete Kawasaki disease instead of misjudge and missed diagnosis.
