Tsuchiya Keiji, Imada Yoshio, Aso Seijiro, Sonobe Tomoyoshi
Department of Pediatrics, Japanese Red Cross Medical Center.
Nihon Rinsho. 2008 Feb;66(2):321-5.
We defined incomplete Kawasaki disease (KD) as those having less than 5 principal symptoms of KD in this article. Japanese Nationwide KD surveys revealed that the prevalence of coronary artery lesion in incomplete KD is almost the same as that of complete KD. Thus, incomplete KD should not be equated with mild KD. However, there is no royal way to make the correct diagnosis of incomplete KD. We have to remind that incomplete KD is not uncommon (around 15%) and is not mild KD when we work-up patients with few principal symptoms of KD. We have to pay attention also to other significant symptoms or findings of the guideline, especially to the skin changes at the site of BCG inoculation.
在本文中，我们将不完全川崎病（KD）定义为具有少于5项KD主要症状的病例。日本全国性KD调查显示，不完全KD中冠状动脉病变的患病率与完全KD几乎相同。因此，不完全KD不应等同于轻症KD。然而，目前尚无明确方法可准确诊断不完全KD。我们必须提醒，不完全KD并不罕见（约15%），在诊治具有少量KD主要症状的患者时，它并非轻症KD。我们还必须关注该指南中的其他重要症状或体征，尤其是卡介苗接种部位的皮肤变化。
