Runel-Belliard C, Lasserre S, Quinet B, Grimprel E
Service des urgences et maladies infectieuses pédiatriques, centre de la drépanocytose, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
Arch Pediatr. 2009 Feb;16(2):115-7. doi: 10.1016/j.arcped.2008.11.015. Epub 2008 Dec 27.
Kawasaki disease is a form of idiopathic systemic vasculitis. Diagnosis is based upon specific clinical parameters. Cardiac manifestations explain the mortality rate. They can be reduced by early treatment using intravenous immunoglobulin. Atypical Kawasaki disease is difficult to diagnose and can delay diagnosis. We report a case of Kawasaki disease with arthritis in a 4-year-old girl whose initial presentation was a febrile torticollis. A literature review details the atypical early signs of Kawasaki disease revealed by torticollis.
川崎病是一种特发性全身性血管炎。诊断基于特定的临床参数。心脏表现解释了死亡率。早期使用静脉注射免疫球蛋白治疗可降低死亡率。非典型川崎病难以诊断,可能会延误诊断。我们报告一例4岁女童患川崎病合并关节炎的病例,其最初表现为发热性斜颈。文献综述详述了由斜颈揭示的川崎病非典型早期体征。