川崎病发作后动脉导管未闭的自然闭合：一例报告
Spontaneous closure of patent ductus arteriosus after an episode of Kawasaki disease: a case report.
作者信息
Lin Ming-Chih, Fu Yun-Ching, Jan Sheng-Ling
机构信息
Department of Pediatrics and Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
出版信息
J Med Case Rep. 2012 Jan 25;6:36. doi: 10.1186/1752-1947-6-36.
INTRODUCTION
Kawasaki disease is regarded as systemic vasculitis. Many experts believe that not only coronary arteries but also other small arteries are involved during the period of systemic inflammation. However, the evidence to support this point view is limited.
CASE PRESENTATION
We report the case of a one-year-four-month-old Taiwanese girl whose patent ductus arteriosus was incidentally found during an episode of Kawasaki disease. The ductus closed spontaneously after the acute phase of Kawasaki disease.
CONCLUSIONS
In this patient, the patent ductus arteriosus may have closed spontaneously after Kawasaki disease due to its involvement in the generalized vasculitis that this disease incurs. This would support the theory that the vasculitis of Kawasaki disease is limited not only to coronary arteries but also to all medium- sized arteries.
引言
川崎病被视为一种全身性血管炎。许多专家认为，在全身性炎症期间，不仅冠状动脉，其他小动脉也会受到影响。然而，支持这一观点的证据有限。
病例报告
我们报告了一名1岁4个月大的台湾女孩的病例，她在川崎病发作期间偶然发现动脉导管未闭。在川崎病急性期过后，动脉导管自行闭合。
结论
在该患者中，动脉导管未闭可能在川崎病后自行闭合，因为它受到了该疾病引发的全身性血管炎的影响。这将支持以下理论，即川崎病的血管炎不仅局限于冠状动脉，还涉及所有中等大小的动脉。
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