Anderson Brit L, Guiot Amy B, Timm Nathan L
From the *Division of Emergency Medicine and †Department of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Pediatr Emerg Care. 2014 Jul;30(7):491-2. doi: 10.1097/PEC.0000000000000169.
Kawasaki disease (KD) is a well-known inflammatory disorder that, despite its classic description, can pose a diagnostic challenge. We report a case of a 3-year-old girl who presented to the emergency department with a limp and urinary incontinence who was ultimately diagnosed with KD. She was found to have a large coronary artery aneurysm on echocardiogram. We discuss the challenges in diagnosing incomplete KD.
川崎病(KD)是一种众所周知的炎症性疾病,尽管有其经典描述,但仍可能带来诊断挑战。我们报告一例3岁女孩,她因跛行和尿失禁就诊于急诊科,最终被诊断为川崎病。超声心动图检查发现她有一个巨大的冠状动脉瘤。我们讨论了诊断不完全性川崎病的挑战。