Sancho Marco T, Navarro González J, García-Peñuela D, Castillo Camacho J A
An Esp Pediatr. 1979 Oct;12(10):711-8.
A case of Kawasaki's disease in a girl of 2 10/12 years of age is presented. She had a typical clinical picture, without cardiovascular afectation, and with good final results. Apparently this is the third case reported in the Spanish medical literature. Attention is called to the low incidence of MLNS in the western countries--only 50 cases reported--as compared with the great number reported from Japan. The problems of diagnosis and pathogeny are discussed, particularly their intimate relation to infantile polyarteritis nodosa, because of the similarities in the cardiovascular alterations in both processes, above all in mortal cases.
本文报告了一例2岁10个月女童的川崎病病例。她有典型的临床表现,无心血管受累,最终预后良好。显然,这是西班牙医学文献中报道的第三例。值得注意的是,与日本大量报道的病例相比,西方国家黏膜淋巴结综合征(MLNS)的发病率较低——仅报道了50例。文中讨论了诊断和病因问题,特别是它们与婴儿结节性多动脉炎的密切关系,因为这两种疾病在心血管改变方面存在相似之处,尤其是在致死病例中。