Teixeira O H, Martin L, Carpenter B F, Sellers F J
Can Med Assoc J. 1980 May 10;122(9):1013-8.
The clinical and laboratory findings in seven children with Kawasaki disease are reviewed. Four of the patients had the more complicated course that has characterized the cases diagnosed in North America. This suggests that the benign forms are often mistaken for other febrile illnesses. The patients were two girls and five boys ranging in age from 4 months to 7 years; six were Caucasian and one was a North American Indian. Fever, redness of the oral mucosa, an erythematous or scarlatiniform rash and cervical adenopathy were seen in all; six patients had the characteristic fingertip desquamation and nonexudative conjunctivitis. Cardiac involvement occurred in four patients, two of whom had coronary artery aneurysm or thrombosis. Arthritis or arthralgia was seen in six patients, and aseptic meningitis occurred in four. Of the three patients with jaundice two underwent laparotomy and excision of a hydropic gallbladder; one of them died from Klebsiella pneumoniae sepsis and disseminated intravascular coagulopathy.
本文回顾了7例川崎病患儿的临床及实验室检查结果。其中4例病情较为复杂，这也是北美地区确诊病例的特征。这表明病情较轻的病例常被误诊为其他发热性疾病。患儿中2例为女孩，5例为男孩，年龄从4个月至7岁不等；6例为白种人，1例为北美印第安人。所有患儿均出现发热、口腔黏膜发红、红斑或猩红热样皮疹以及颈部淋巴结肿大；6例患儿有特征性的指尖脱皮和非渗出性结膜炎。4例患儿出现心脏受累，其中2例有冠状动脉瘤或血栓形成。6例患儿有关节炎或关节痛，4例发生无菌性脑膜炎。3例黄疸患儿中，2例行剖腹手术并切除积水胆囊；其中1例死于肺炎克雷伯菌败血症和弥散性血管内凝血。
