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成人川崎病合并肺部受累的罕见病例。

Rare case of pulmonary involvement in an adult with Kawasaki disease.

作者信息

Escalon Joanna G, Wu Xiaoping, Drexler Ian R, Lief Lindsay, Plataki Maria, Bender Michael, Gruden James F

机构信息

NewYork-Presbyterian - Weill Cornell Medical Center, Department of Radiology, United States.

NewYork-Presbyterian - Weill Cornell Medical Center, Department of Medicine/Pulmonary and Critical Care, United States.

出版信息

Clin Imaging. 2018 Jan-Feb;47:1-3. doi: 10.1016/j.clinimag.2017.08.001. Epub 2017 Aug 3.

Abstract

Kawasaki disease is an acute, self-limited, febrile vasculitis typically seen in early childhood. Pulmonary involvement is uncommon and is not part of the conventional diagnostic criteria. We add to the literature a unique case of a 22year-old male with Kawasaki disease and pulmonary involvement. It illustrates the importance of recognizing unusual presentations of Kawasaki disease and highlights the possibility of pulmonary abnormalities on physical and imaging examination. Awareness of such presentations can help avoid delayed diagnosis, prevent the development of coronary aneurysms, and allow careful observation for imaging resolution.

摘要

川崎病是一种急性、自限性、发热性血管炎,常见于幼儿期。肺部受累并不常见,也不是传统诊断标准的一部分。我们在文献中增加了一例独特的病例,一名22岁男性患有川崎病并伴有肺部受累。它说明了认识川崎病不寻常表现的重要性,并强调了体格检查和影像学检查中出现肺部异常的可能性。认识到这些表现有助于避免延迟诊断、预防冠状动脉瘤的发生,并便于对影像学检查结果进行仔细观察。

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