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[Clinical experience in the treatment of incomplete Kawasaki disease with no response to intravenous immunoglobulin: a case report].[静脉注射免疫球蛋白无反应的不完全川崎病治疗的临床经验:病例报告]
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Dec 15;24(12):1311-1312. doi: 10.7499/j.issn.1008-8830.2209087.
2
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本文引用的文献

1
[The expert consensus on diagnosis and acute-phase treatment of Kawasaki disease].[川崎病诊断与急性期治疗专家共识]
Zhonghua Er Ke Za Zhi. 2022 Jan 2;60(1):6-13. doi: 10.3760/cma.j.cn112140-20211018-00879.
2
Update on the Management of Kawasaki Disease.川崎病治疗进展
Pediatr Clin North Am. 2020 Oct;67(5):811-819. doi: 10.1016/j.pcl.2020.06.002. Epub 2020 Aug 11.
3
JCS/JSCS 2020 Guideline on Diagnosis and Management of Cardiovascular Sequelae in Kawasaki Disease.《日本循环学会/日本小儿循环学会2020年川崎病心血管后遗症诊断与管理指南》
Circ J. 2020 Jul 22;84(8):1348-1407. doi: 10.1253/circj.CJ-19-1094. Epub 2020 Jul 8.
4
A Comprehensive Update on Kawasaki Disease Vasculitis and Myocarditis.川崎病血管炎和心肌炎的综合更新
Curr Rheumatol Rep. 2020 Feb 5;22(2):6. doi: 10.1007/s11926-020-0882-1.
5
Epidemiology of Kawasaki Disease in Canada 2004 to 2014: Comparison of Surveillance Using Administrative Data vs Periodic Medical Record Review.2004 年至 2014 年加拿大川崎病的流行病学:利用行政数据监测与定期病历回顾的比较。
Can J Cardiol. 2018 Mar;34(3):303-309. doi: 10.1016/j.cjca.2017.12.009. Epub 2017 Dec 15.
6
The prevention of coronary arterial abnormalities in Kawasaki disease: A meta-analysis of the corticosteroid effectiveness.川崎病冠状动脉异常的预防:皮质类固醇疗效的荟萃分析。
J Microbiol Immunol Infect. 2018 Jun;51(3):321-331. doi: 10.1016/j.jmii.2017.08.012. Epub 2017 Sep 6.
7
Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association.川崎病的诊断、治疗和长期管理:美国心脏协会发布的一份面向医疗保健专业人员的科学声明。
Circulation. 2017 Apr 25;135(17):e927-e999. doi: 10.1161/CIR.0000000000000484. Epub 2017 Mar 29.
8
Early Appearance of Principal Symptoms of Kawasaki Disease is a Risk Factor for Intravenous Immunoglobulin Resistance.川崎病主要症状的早期出现是静脉注射免疫球蛋白抵抗的一个危险因素。
Pediatr Cardiol. 2015 Aug;36(6):1159-65. doi: 10.1007/s00246-015-1136-2. Epub 2015 Mar 10.
9
Epidemiologic features of Kawasaki disease in acute stages in Taiwan, 1997-2010: effect of different case definitions in claims data analysis.1997 - 2010年台湾地区川崎病急性期的流行病学特征:不同病例定义在索赔数据分析中的影响
J Chin Med Assoc. 2015 Feb;78(2):121-6. doi: 10.1016/j.jcma.2014.03.009. Epub 2015 Jan 28.
10
Late intravenous immunoglobulin treatment in patients with Kawasaki disease.川崎病患者的晚期静脉注射免疫球蛋白治疗。
Pediatrics. 2012 Feb;129(2):e291-7. doi: 10.1542/peds.2011-1704. Epub 2012 Jan 16.

[静脉注射免疫球蛋白无反应的不完全川崎病治疗的临床经验:病例报告]

[Clinical experience in the treatment of incomplete Kawasaki disease with no response to intravenous immunoglobulin: a case report].

作者信息

Yang Zhao-Yu, Liu Jia-Yi, Yan Xian-Peng, Jiao Fu-Yong

机构信息

Children's Hospital of Shaanxi Provincial People's Hospital, Xi'an 710068, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2022 Dec 15;24(12):1311-1312. doi: 10.7499/j.issn.1008-8830.2209087.

DOI:10.7499/j.issn.1008-8830.2209087
PMID:36544409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9785083/
Abstract

This article reports a case of incomplete Kawasaki disease with no response to intravenous immunoglobulin (IVIG). A girl, aged 1 year, had the symptoms of fever, rash, finger desquamation, and coronary artery ectasia. She still had fever at 36 hours after the first dose of IVIG treatment, and her temperature returned to normal after the second dose of IVIG treatment. The follow-up after 1 month showed that the coronary artery diameter returned to normal. This article summarizes the experience in the treatment of incomplete Kawasaki disease with no response to IVIG in order to reduce the incidence of coronary artery damage.

摘要

本文报道了1例对静脉注射免疫球蛋白(IVIG)无反应的不完全川崎病病例。一名1岁女童,有发热、皮疹、手指脱皮和冠状动脉扩张症状。首次IVIG治疗36小时后仍发热,第二次IVIG治疗后体温恢复正常。1个月后的随访显示冠状动脉直径恢复正常。本文总结了对IVIG无反应的不完全川崎病的治疗经验,以降低冠状动脉损伤的发生率。