Friedman A D
Department of Pediatrics/Adolescent Medicine, St. Louis University School of Medicine, Missouri.
Pediatr Dermatol. 1988 May;5(2):120-2. doi: 10.1111/j.1525-1470.1988.tb01152.x.
Kawasaki syndrome (KS) is a vasculitis of childhood, the etiology of which is unknown. Diagnosis is based on the Center for Disease Control (CDC) criteria in which skin and mucous membrane findings play a key role. Coronary artery involvement can be fatal. Prompt diagnosis and initiation of therapy can reduce the risk of cardiac complication. Autopsy findings of patients with KS who did not fit CDC criteria for symptoms have been reported. Infants, in particular, may have an atypical clinical course resulting in delayed diagnosis and initiation of treatment. This case presents an infant with fever and an atypical rash who did not fit diagnostic criteria. Differential diagnosis of infants with prolonged fevers and rash, who do not fit into other diagnostic categories, should include KS and an appropriate cardiac examination including consideration of an echocardiogram.
川崎病（KS）是一种儿童血管炎，其病因尚不清楚。诊断基于疾病控制中心（CDC）的标准，其中皮肤和黏膜表现起着关键作用。冠状动脉受累可能是致命的。及时诊断和开始治疗可降低心脏并发症的风险。已有关于不符合CDC症状标准的KS患者尸检结果的报道。特别是婴儿，可能有非典型的临床病程，导致诊断和治疗延迟。本病例介绍了一名有发热和非典型皮疹但不符合诊断标准的婴儿。对于持续发热和皮疹且不符合其他诊断类别的婴儿，鉴别诊断应包括KS，并进行适当的心脏检查，包括考虑进行超声心动图检查。
