Narayanan S Noel, Ahamed M Zulfikar, Safia M
Department of Pediatrics and Cardiology, SAT Hospital, Medical College, Thiruvananthapuram 695 011, India.
Indian Pediatr. 2005 Sep;42(9):918-22.
We report 72 patients with Kawasaki disease seen at this Centre over 7 years. Cardiac involvement in the form of mild pancarditis was seen in 28 % patients, but disappeared subsequently. Thirteen (18.5 percent) children developed coronary artery disease, out of which 4 resolved by the end of two months and another 6 after one year; 3 patients continued to show coronary artery dilatation and aneurysm formation. Children who received IV gammaglobulin in full dose within 10 days of onset of illness, showed no evidence of coronary artery disease during follow up.
我们报告了本中心7年里收治的72例川崎病患者。28%的患者出现了轻度全心炎形式的心脏受累,但随后消失。13名(18.5%)儿童发生了冠状动脉疾病,其中4例在两个月结束时病情缓解,另外6例在一年后缓解;3例患者持续表现出冠状动脉扩张和动脉瘤形成。在疾病发作10天内接受足量静脉注射丙种球蛋白的儿童,在随访期间未出现冠状动脉疾病的迹象。