Bauman C, Cron R Q, Sherry D D, Francis J S
Department of Medicine, University of Washington, Seattle, USA.
J Pediatr. 1996 Mar;128(3):366-9. doi: 10.1016/s0022-3476(96)70283-4.
A misdiagnosis of Kawasaki disease was made initially for two patients with Reiter syndrome. The first patient had conjunctivitis, urethritis, arthritis, and the characteristic skin finding of keratoderma blennorrhagicum. The second patient had conjunctivitis, uveitis, dysuria, arthritis, and the characteristic musculoskeletal finding of enthesitis. Neither patient responded to intravenous immunoglobulin therapy but both responded to nonsteroidal antiinflammatory medication. The clinical characteristics of Reiter syndrome and Kawasaki disease in children are similar but specific features should allow for their differentiation.
最初，两名赖特综合征患者被误诊为川崎病。第一名患者有结膜炎、尿道炎、关节炎以及脓性角化病的特征性皮肤表现。第二名患者有结膜炎、葡萄膜炎、排尿困难、关节炎以及附着点炎的特征性肌肉骨骼表现。两名患者对静脉注射免疫球蛋白治疗均无反应，但对非甾体抗炎药均有反应。儿童赖特综合征和川崎病的临床特征相似，但特定特征应有助于二者的鉴别。
