Charlesworth Jennifer Michelle, Power Bernadette, Moylett Edina
Department of Medicine, National University of Ireland-Galway, Galway, Ireland.
Department of Paediatrics, Letterkenny General Hospital, Letterkenny, Donegal, Ireland.
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-222323. doi: 10.1136/bcr-2017-222323.
Kawasaki disease (KD) is the most common systemic vasculitis of childhood. The following presentation of a 4-year-old Irish boy referred to a secondary care paediatric service from the community with prolonged fever, oral mucous membrane changes and painless blistering lesions of the hands and feet in the presence of elevated inflammatory markers serves as an opportunity to discuss the diagnostic criteria and treatment for KD and incomplete KD, an often missed diagnosis with significant paediatric morbidity outside an academic paediatric centre.
川崎病（KD）是儿童期最常见的系统性血管炎。一名4岁爱尔兰男孩从社区转诊至二级护理儿科服务机构，伴有持续发热、口腔黏膜改变以及手脚无痛性水疱性病变，且炎症标志物升高。以下内容借此病例探讨川崎病和不完全川崎病的诊断标准及治疗方法，不完全川崎病常被漏诊，在学术性儿科中心之外会导致显著的儿科发病率。
