Gao Yunxia, Zhang Yifan, Lu Fang, Wang Xiaoyue, Zhang Ming
Department of Ophthalmology, Sichuan University West China Hospital, Chengdu, Sichuan Sichuan University West China School of Medicine, China.
Medicine (Baltimore). 2018 Jun;97(22):e10974. doi: 10.1097/MD.0000000000010974.
Kawasaki disease is a necrotizing vasculitis featuring fever, erythema, conjunctivitis, and lymphadenopathy. Ocular manifestations in Kawasaki disease are commonly limited to anterior segment, posterior segment lesions are rarely reported.
We report a unique case of ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease. An 11-year-old Asian girl presented with severe enophthalmos, retinitis, retinal detachment, and choroidal detachment secondary to an unexplained fever for 10 days.
To the best of our knowledge, this is the first documented case of incomplete Kawasaki disease with severe posterior segment lesions. The local use of dexamethasone in the eye was effective in our patient. Surgical intervention might not be necessary even though the initial symptoms could be devastating. The eye should be monitoring the eye routinely in patients with Kawasaki disease.
川崎病是一种以发热、红斑、结膜炎和淋巴结病为特征的坏死性血管炎。川崎病的眼部表现通常局限于前段，后段病变报道较少。
我们报告了一例11岁不完全川崎病女孩独特的眼部表现。一名11岁亚洲女孩因不明原因发热10天出现严重眼球内陷、视网膜病变、视网膜脱离和脉络膜脱离。
据我们所知，这是首例有严重后段病变的不完全川崎病记录病例。局部应用地塞米松对我们的患者有效。尽管初始症状可能很严重，但可能无需手术干预。对于川崎病患者，应常规监测眼部情况。
