Landing B H, Larson E J
Pediatrics. 1977 May;59(5):651-62.
We reviewed available clinical and pathologic autopsy material from 20 patients with infantile periarteritis nodosa with coronary artery involvement (IPN) from the continental United States, two Hawaiian patients with fatal mucocutaneous lymph node syndrome (MCLS; Kawasaki disease), and three patients with classical periarteritis nodosa (CPN). Comparison of the findings in patients with IPN and in patients with MCLS from Hawaii to material from patients with fatal MCLS from Japan showed no definite clinical reason to distinguish IPN from MCLS; neither gross nor microscopic features of the vascular lesions nor their pattern of distribution appears to warrant separation of IPN from fatal MCLS. CPN differs, both clinically and pathologically, from IPN/MCLS, and may well have a different etiology.
我们回顾了来自美国大陆的20例患有累及冠状动脉的婴儿结节性多动脉炎（IPN）患者、2例患有致命性皮肤黏膜淋巴结综合征（MCLS；川崎病）的夏威夷患者以及3例经典结节性多动脉炎（CPN）患者的现有临床和病理尸检材料。将IPN患者和夏威夷MCLS患者的检查结果与来自日本致命性MCLS患者的材料进行比较，结果显示没有明确的临床依据可将IPN与MCLS区分开来；血管病变的大体及微观特征及其分布模式似乎均不足以将IPN与致命性MCLS区分开。CPN在临床和病理方面均与IPN/MCLS不同，其病因很可能也不同。
