Cataldo F, Violante M, Donzelli M, Bellia L, La Monaca P
Pediatr Med Chir. 1987 Jan-Feb;9(1):99-103.
The authors describe two cases of Kawasaki disease, one of whose is an "incomplete" form, and emphasize the importance to know this "new" disease in the differential diagnosis of febrile exanthemas of childhood. A complete diagnostic walk-up failed to find out a probably, while change of some immunological and flogistic parameters has permitted to suppose a probably immuno-mediated pathogenesis of Kawasaki disease. Both patients healed without any sequelae after therapy with low doses of salicylate for ten months, in confirmation of usefulness of this treatment in the prevention of heart complications of Kawasaki disease.
作者描述了两例川崎病,其中一例为“不完全”型,并强调在儿童发热性皮疹的鉴别诊断中了解这种“新”疾病的重要性。全面的诊断检查未能找出病因,而一些免疫和炎症参数的变化使人们推测川崎病可能存在免疫介导的发病机制。两名患者在接受低剂量水杨酸盐治疗十个月后均痊愈且无任何后遗症,证实了这种治疗方法在预防川崎病心脏并发症方面的有效性。