Jen Melinda, Brucia Lauren A, Pollock Avrum N, Burnham Jon M
Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Pediatrics. 2006 Nov;118(5):e1569-71. doi: 10.1542/peds.2006-1089. Epub 2006 Oct 23.
Severe neck pain, stiffness, and torticollis in a child with Kawasaki disease commonly represent aseptic meningitis or lymphadenitis. Here we present an unusual case of severe cervical spine and bilateral temporomandibular joint arthritis in a 5-year-old boy with a relapse of Kawasaki disease and coronary artery ectasia. The patient had a favorable response to a second course of intravenous immunoglobulin G and indomethacin therapy, with complete resolution of his symptoms.
川崎病患儿出现严重颈部疼痛、僵硬和斜颈通常提示无菌性脑膜炎或淋巴结炎。本文报告1例5岁复发型川崎病合并冠状动脉扩张患儿出现严重颈椎及双侧颞下颌关节关节炎的罕见病例。该患者对第二疗程静脉注射免疫球蛋白G和吲哚美辛治疗反应良好，症状完全缓解。
