不完全川崎病的诊断。
Diagnosis of incomplete Kawasaki disease.
作者信息
Yu Jeong Jin
机构信息
Division of Pediatric Cardiology, Department of Pediatrics, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
出版信息
Korean J Pediatr. 2012 Mar;55(3):83-7. doi: 10.3345/kjp.2012.55.3.83. Epub 2012 Mar 16.
Abstract
Several authors suggested that the clinical characteristics of incomplete presentation of Kawasaki disease are similar to those of complete presentation and that the 2 forms of presentation are not separate entities. Based on this suggestion, a diagnosis of incomplete Kawasaki disease in analogy to the findings of complete presentation is reasonable. Currently, the diagnosis of incomplete Kawasaki disease might be made in cases with fewer classical diagnostic criteria and with several compatible clinical, laboratory or echocardiographic findings on the exclusion of other febrile illness. Definition of incomplete presentation in which coronary artery abnormalities are included as a necessary condition, is restrictive and specific. The validity of the diagnostic criteria of incomplete presentation by the American Heart Association should be thoroughly tested in the immediate future.
摘要
几位作者认为，川崎病不完全表现的临床特征与完全表现相似，这两种表现形式并非独立的实体。基于这一观点，参照完全表现的结果对不完全川崎病进行诊断是合理的。目前，对于不完全川崎病的诊断可能适用于那些经典诊断标准较少，且在排除其他发热性疾病后有若干相符的临床、实验室或超声心动图检查结果的病例。将冠状动脉异常作为必要条件纳入其中的不完全表现的定义具有局限性和特异性。美国心脏协会关于不完全表现的诊断标准的有效性应在不久的将来进行全面检验。
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