Poon L K, Lun K S, Ng Y M
Department of Paediatrics, Queen Elizabeth Hospital, Kowloon, Hong Kong.
Hong Kong Med J. 2000 Jun;6(2):224-6.
We report on a case of facial nerve palsy associated with Kawasaki disease in a 2-year-old boy. Facial nerve palsy is one of the rare neurological manifestations of Kawasaki disease. Twenty-seven other cases that have been reported in the literature are reviewed. There is a high incidence of coronary artery aneurysm (52%) and a female predilection in patients with Kawasaki disease. The facial palsy associated with the disease is self-limiting. Recovery is spontaneous in surviving patients, although the use of intravenous immunoglobulin may be able to hasten the recovery.
我们报告了一例2岁男孩患川崎病并发面神经麻痹的病例。面神经麻痹是川崎病罕见的神经系统表现之一。本文回顾了文献中已报道的其他27例病例。川崎病患者冠状动脉瘤的发生率较高(52%),且女性更易患病。与该疾病相关的面神经麻痹是自限性的。尽管使用静脉注射免疫球蛋白可能能够加速恢复,但存活患者的恢复是自发的。