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Subconjunctival Acute Bilateral Hemorrhages Due to Kawasaki Disease in a Costa Rican Girl: An Unusual Clinical Manifestation of the Disease.

作者信息

Montenegro-Villalobos Jiulliana, Miranda-Jiménez Brian, Ávila-Aguero María L, Ulloa-Gutierrez Rolando

机构信息

Pediatric Infectious Diseases, Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera", San Jose, CRI.

Pediatric Medicine, Hospital de San Carlos, Alajuela, CRI.

出版信息

Cureus. 2020 Sep 2;12(9):e10212. doi: 10.7759/cureus.10212.

DOI:10.7759/cureus.10212
PMID:32905384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7470662/
Abstract

Kawasaki disease is an acute systemic vasculitis and is the leading cause of acquired cardiac disease in children. Among the ocular manifestations in these patients, bilateral non-suppurative conjunctival injection and uveitis are the most common. We describe a six-year-old Costa Rican girl with acute Kawasaki disease who developed severe bilateral conjunctival injection with subsequent bilateral subconjunctival hemorrhages. For her ocular involvement, she was treated expectantly, and after six weeks there was complete resolution. To our knowledge, this is the first report from Latin America and among the few in the literature of a child in whom severe bilateral subconjunctival hemorrhages occur as a manifestation of Kawasaki disease.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/c9defbe6c4dd/cureus-0012-00000010212-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/b7248a8cea4f/cureus-0012-00000010212-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/a4df26124ba8/cureus-0012-00000010212-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/c9defbe6c4dd/cureus-0012-00000010212-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/b7248a8cea4f/cureus-0012-00000010212-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/a4df26124ba8/cureus-0012-00000010212-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3cc/7470662/c9defbe6c4dd/cureus-0012-00000010212-i03.jpg

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1
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本文引用的文献

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A case of Kawasaki disease complicated with retinal vasculitis.
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Rare ocular manifestations in an 11-year-old girl with incomplete Kawasaki disease: A case report.一名患有不完全川崎病的11岁女孩的罕见眼部表现：病例报告
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Usefulness of anterior uveitis as an additional tool for diagnosing incomplete Kawasaki disease.前葡萄膜炎作为诊断不完全川崎病的辅助手段的效用。
Korean J Pediatr. 2016 Apr;59(4):174-7. doi: 10.3345/kjp.2016.59.4.174. Epub 2016 Apr 30.
4
Uveitis as an important ocular sign to help early diagnosis in Kawasaki disease.葡萄膜炎作为川崎病早期诊断的一项重要眼部体征。
Korean J Pediatr. 2015 Oct;58(10):374-9. doi: 10.3345/kjp.2015.58.10.374. Epub 2015 Oct 21.
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