Cataldo F, Violante M, Bellia L, Gueci G, Maltese I, Albeggiani A
Clinica Pediatrica R, Universitá di Palermo.
Minerva Pediatr. 1991 Oct;43(10):661-4.
Kawasaki disease can be characterized by rare complications or by unusual associations. One of these is autoimmune hemolytic anaemia that has been observed seldom up to now. The Authors report a case with this rare association, compare it with cases observed before, and put forth the hypothesis that autoimmune anaemia during Kawasaki disease can be linked to numerous immunological alterations present in mucocutaneous lymph node syndrome. They moreover advise to abstain in these cases from corticosteroid therapy, both to avoid complications, and because, as happened in their patient, this kind of autoimmune hemolytic anaemia can regress spontaneously.
川崎病可表现为罕见的并发症或不寻常的关联。其中之一是自身免疫性溶血性贫血,到目前为止很少见。作者报告了一例这种罕见关联的病例,将其与之前观察到的病例进行比较,并提出假设,即川崎病期间的自身免疫性贫血可能与皮肤黏膜淋巴结综合征中存在的多种免疫改变有关。他们还建议在这些病例中避免使用皮质类固醇治疗,既要避免并发症,又因为正如他们的患者那样,这种自身免疫性溶血性贫血可自发消退。