Sacco M C, Meleleo D, Castriota Scanderbeg A
Divisione di Pediatria, Ospedale Casa Sollievo della Sofferenza, Giovanni Rotondo, FG, Italia.
Pediatr Med Chir. 1995 May-Jun;17(3):279-80.
Although the diagnostic criteria for Kawasaki disease (KD) have been clearly defined, there are many reports on other signs associated with the disease. Kabani et al. in 1991 described three consecutive patients with combined atypical presentation of the disease and communicating hydrocele. To our knowledge, the first case of hydrocele during the course of KD was that described by us in 1990. Here we present an additional case of hydrocele developed at the onset of a typical Kawasaki disease. We think that hydrocele must be reported in the list of possible signs associated with Kawasaki disease and that if present, it should be particularly usefull for diagnosis of atypical presentation of the disease.
尽管川崎病（KD）的诊断标准已明确界定，但关于该疾病相关的其他体征仍有许多报道。1991年，卡巴尼等人描述了3例连续出现该疾病非典型表现并伴有交通性鞘膜积液的患者。据我们所知，KD病程中出现鞘膜积液的首例病例是我们于1990年所描述的。在此，我们报告1例典型川崎病起病时出现鞘膜积液的病例。我们认为鞘膜积液应被列入川崎病可能相关体征的清单中，并且如果出现，它对于诊断该疾病的非典型表现可能特别有用。
