Shah I
Department of Pediatrics, B. J. Wadia Hospital for Children, Parel, Mumbai, India.
J Cardiovasc Dis Res. 2012 Jul;3(3):240-1. doi: 10.4103/0975-3583.98902.
Atypical presentations of Kawasaki's disease have been described in the form of intestinal pseudo-obstruction, tonsillitis, hemorrhagic serous effusions, thrombocytopenia, and non-fulfillment of all criteria for diagnosis of Kawasaki's disease. However, presentation of Kawasaki's disease with shock and need for ionotropic support have been rarely described. We present a 4-year-old girl with Kawasaki's disease who presented with anasarca, oliguria, shock, and presence of dilated coronary arteries within 5 days of fever and responded to intravenous immunoglobulin (IVIG) and inotropic support.
川崎病的非典型表现已被描述为肠道假性梗阻、扁桃体炎、出血性浆液性渗出、血小板减少以及未满足川崎病诊断的所有标准。然而，川崎病伴休克及需要使用血管活性药物支持的表现却鲜有报道。我们报告一例4岁川崎病女童，在发热5天内出现全身性水肿、少尿、休克及冠状动脉扩张，对静脉注射免疫球蛋白（IVIG）和血管活性药物支持治疗有反应。
