Department of Pediatric Sciences, Università Cattolica Sacro Cuore, Largo A. Gemelli no. 8, Rome, Italy.
Rheumatol Int. 2010 Feb;30(4):535-9. doi: 10.1007/s00296-009-0960-1. Epub 2009 May 20.
A 3-month-old child was first treated for incomplete Kawasaki syndrome with three cycles of intravenous immunoglobulins and aspirin, then with methylprednisolone which led to fever remission. The same child was re-hospitalized after a 10-month-period of well-being for the suspicion of a new episode of Kawasaki syndrome, which appeared to be immunoglobulin-resistant: extensive testing failed to provide an alternative diagnosis of any infectious or infiltrative disease. Diagnosis of systemic onset-juvenile idiopathic arthritis was postulated upon the long persistence of fever and inflammatory signs, which subsided only after starting corticosteroid treatment.
一个 3 个月大的婴儿最初接受了三个周期的静脉注射免疫球蛋白和阿司匹林治疗不完全川崎病，然后用甲基强的松龙治疗，使发热缓解。10 个月后，该婴儿在身体状况良好的情况下再次住院，怀疑出现新的川崎病发作，该疾病似乎对免疫球蛋白有抵抗作用：广泛的检查未能提供任何感染或浸润性疾病的替代诊断。由于发热和炎症迹象持续存在，在开始皮质类固醇治疗后才消退，因此推测该儿童患有全身型幼年特发性关节炎。
