Pediatric Unit, Maternal & Infant Department, S. Chiara University-Hospital, Via Roma 67, Pisa 56126, Italy.
Ital J Pediatr. 2013 Feb 13;39:11. doi: 10.1186/1824-7288-39-11.
Incomplete Kawasaki disease represents a diagnostic challenge for pediatricians. In the absence of classical presentation, the laboratoristic evaluation of systemic inflammation can help in placing the correct diagnosis to promptly start adequate therapy. Erythema multiforme is an acute, self-limiting condition considered to be a hypersensitivity reaction commonly associated with various infections or medications. This aspecific skin condition has been rarely described as a sign of Kawasaki disease. We report on the case of a 4 years old boy presenting high-grade fever associated with erythema multiforme and evidence of systemic inflammation who showed a good response to prompt treatment with intravenous immunoglobulins.
不典型川崎病对儿科医生来说是一个诊断挑战。在缺乏典型表现的情况下，系统炎症的实验室评估有助于正确诊断，从而及时开始适当的治疗。多形红斑是一种急性、自限性疾病，被认为是一种常见的与各种感染或药物相关的过敏反应。这种非特异性皮肤状况很少被描述为川崎病的一个迹象。我们报告了一例 4 岁男孩，表现为高热，伴有多形红斑和全身炎症证据，对及时静脉注射免疫球蛋白治疗反应良好。
