Huang Y C, Lin T Y, Su W J
Department of Pediatrics, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
J Formos Med Assoc. 1997 Jun;96(6):451-6.
Between January 1983 and December 1992, the medical records of 187 patients (116 boys and 71 girls) with Kawasaki disease (KD) who were admitted to the hospital in the acute phase were retrospectively reviewed. Of these, 175 patients (93.6%) were under 4 years of age. Among the six principal symptoms of KD, the incidence of cervical lymphadenopathy (41.2%) was relatively low. Additionally, we found some unusual features including intussusception in a 4-month-old female, transient thrombocytopenia in seven children (3.7%) and isolated azotemia in five. KD is a systemic disease of unknown etiology. The diverse associated features make KD puzzling and difficult to diagnose. In caring for children with KD, physicians should be alert to the principal symptoms as well as the unusual associated manifestations.
1983年1月至1992年12月期间，对187例急性期入院的川崎病（KD）患儿（116例男孩和71例女孩）的病历进行了回顾性分析。其中，175例（93.6%）患儿年龄在4岁以下。在KD的六个主要症状中，颈部淋巴结病的发生率（41.2%）相对较低。此外，我们还发现了一些不寻常的特征，包括一名4个月大女童发生肠套叠、7名儿童（3.7%）出现短暂性血小板减少症以及5名儿童出现孤立性氮质血症。KD是一种病因不明的全身性疾病。其多样的相关特征使得KD难以理解且诊断困难。在照料KD患儿时，医生应警惕主要症状以及不寻常的相关表现。
