Department of Otolaryngology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Singapore Med J. 2012 Dec;53(12):e264-6.
Kawasaki disease is a common paediatric vasculitide. It is usually diagnosed by its classical constellation of mucocutaneous signs. Recurrent Kawasaki disease is a rare phenomenon that occurs in approximately 3% of all patients diagnosed with Kawasaki disease. Its presentation is usually similar to the first episode of Kawasaki disease, and early diagnosis with prompt treatment is key in preventing associated cardiovascular morbidities. Recurrent Kawasaki disease is not well reported, and atypical presentations have not been previously reported in medical literature. Here, we report the case of a young girl with recurrent Kawasaki disease who presented atypically with acute airway obstruction secondary to retropharyngeal phlegmon.
川崎病是一种常见的儿科血管炎。它通常通过其典型的黏膜皮肤征象来诊断。川崎病复发是一种罕见现象,约占所有川崎病患者的 3%。其表现通常与川崎病的首次发作相似,早期诊断和及时治疗是预防相关心血管并发症的关键。川崎病复发的报道并不多,以前也没有在医学文献中报道过不典型的表现。在这里,我们报告了一例年轻女孩川崎病复发的病例,她表现为不典型的急性呼吸道阻塞,继发于咽后蜂窝织炎。