Stoler J, Biller J A, Grand R J
Am J Dis Child. 1987 Mar;141(3):306-8. doi: 10.1001/archpedi.1987.04460030084031.
Two children with Kawasaki disease presented with vomiting, back and abdominal pain, elevated serum amylase values, and ultrasonographic findings consistent with pancreatitis. In both patients, pancreatitis appeared after approximately two weeks of illness, and both patients underwent extensive evaluations, which yielded negative results, for other disorders associated with pancreatitis. We suggest that in the absence of acute infection, and in the presence of appropriate diagnostic criteria, pancreatitis should be considered in all patients with Kawasaki disease who have severe abdominal pain.
两名川崎病患儿出现呕吐、背部及腹痛、血清淀粉酶值升高，以及与胰腺炎相符的超声检查结果。两名患者的胰腺炎均在发病约两周后出现，且均针对与胰腺炎相关的其他病症进行了全面评估，结果均为阴性。我们建议，在无急性感染且符合适当诊断标准的情况下，所有患有严重腹痛的川崎病患者均应考虑胰腺炎的可能。
