J Pediatr Health Care. 2024 Jul-Aug;38(4):624-628. doi: 10.1016/j.pedhc.2023.10.004. Epub 2023 Oct 25.
Kawasaki disease, or mucocutaneous lymph node syndrome, is an acute systemic vasculitis involving small and medium-sized vessels. It can be complicated by varying degrees of cardiac damage, especially coronary artery disease. The disease mainly occurs in children aged < 5 years, with rarer cases in older children and adults. Intravenous immunoglobulin combined with aspirin is the widely accepted treatment regimen in the acute phase, but the dosage recommended by the American Heart Association guidelines is not suitable for heavier children. This article reports the successful management of an overweight 14-year-old child with Kawasaki disease.
川崎病，又称黏膜皮肤淋巴结综合征，是一种累及小、中血管的急性全身性血管炎。它可并发不同程度的心脏损害，特别是冠状动脉疾病。该疾病主要发生于<5 岁儿童，在大龄儿童和成人中较少见。静脉注射免疫球蛋白联合阿司匹林是急性期广泛接受的治疗方案，但美国心脏协会指南推荐的剂量并不适用于体重大的儿童。本文报告了成功管理一名超重 14 岁川崎病患儿的案例。
