Yang Zhao-Yu, Liu Jia-Yi, Yan Xian-Peng, Jiao Fu-Yong
Children's Hospital of Shaanxi Provincial People's Hospital, Xi'an 710068, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2022 Dec 15;24(12):1311-1312. doi: 10.7499/j.issn.1008-8830.2209087.
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.
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。