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迟发性川崎病合并多发冠状动脉瘤:一例报告

Late onset Kawasaki disease with multiple coronary arterial aneurysms: A case report.

作者信息

Wagle Ganesh, Khatiwada Abhikanta, Bastakoti Sudip, K C Sharada

机构信息

Department of Radiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

出版信息

Radiol Case Rep. 2024 Aug 10;19(11):4762-4765. doi: 10.1016/j.radcr.2024.07.066. eCollection 2024 Nov.

DOI:10.1016/j.radcr.2024.07.066
PMID:39228940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366877/
Abstract

Kawasaki disease is an acute, self-limiting, systemic vasculitis of small and medium-sized arteries. It predominantly occurs in children under 4 years of age, though rarely older children can also be affected. This disease is the leading cause of acquired heart disease in children, with coronary aneurysms being a hallmark finding. The risk of coronary complications necessitates regular monitoring and possible preventative treatment with thromboprophylaxis. Here we discuss a rare case of a 10-year-old boy who exhibited typical symptoms of Kawasaki disease and was found to have multiple coronary artery aneurysms through diagnostic imaging.

摘要

川崎病是一种急性、自限性的中小动脉系统性血管炎。它主要发生在4岁以下的儿童中,不过年龄较大的儿童也很少会受到影响。这种疾病是儿童后天性心脏病的主要原因,冠状动脉瘤是一个标志性表现。冠状动脉并发症的风险使得有必要进行定期监测,并可能需要进行预防性血栓预防治疗。在此,我们讨论一例罕见病例,一名10岁男孩表现出川崎病的典型症状,通过诊断性影像学检查发现患有多个冠状动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11366877/7e2eed52e886/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11366877/4ab38162877e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11366877/7e2eed52e886/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11366877/4ab38162877e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea0f/11366877/7e2eed52e886/gr2.jpg

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本文引用的文献

1
Multisystem Imaging Manifestations of Kawasaki Disease.川崎病的多系统影像学表现。
Radiographics. 2022 Jan-Feb;42(1):268-288. doi: 10.1148/rg.210070. Epub 2021 Nov 26.
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Reactivation of BCG inoculation site in a child with febrile exanthema of 3 days duration: an early indicator of incomplete Kawasaki disease.持续3天发热性皮疹患儿卡介苗接种部位再活化:不完全川崎病的早期指标
BMJ Case Rep. 2020 Dec 17;13(12):e239648. doi: 10.1136/bcr-2020-239648.
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川崎病诊断指南(第6版修订版)修订内容
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CT and MR Imaging of Cardiothoracic Vasculitis.心胸血管炎的 CT 和 MRI 成像。
Radiographics. 2018 Jul-Aug;38(4):997-1021. doi: 10.1148/rg.2018170136. Epub 2018 Jun 8.
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Pediatr Infect Dis J. 2012 Dec;31(12):1217-20. doi: 10.1097/INF.0b013e318266bcf9.
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Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association.川崎病的诊断、治疗及长期管理:美国心脏协会青少年心血管疾病理事会风湿热、心内膜炎及川崎病委员会给卫生专业人员的声明
Circulation. 2004 Oct 26;110(17):2747-71. doi: 10.1161/01.CIR.0000145143.19711.78.