Bradway M W, Drezner A D
Department of Surgery, University of Connecticut Medical School, Hartford, USA.
J Vasc Surg. 1997 Nov;26(5):884-7. doi: 10.1016/s0741-5214(97)70104-6.
Kawasaki disease is known to cause a vasculitis of small and medium-sized vessels, with subsequent aneurysm formation. Most of the severe manifestations of the disease occur as a result of coronary aneurysm formation. However, many other arteries have been documented to be involved. A case is presented of a middle-aged man with a history of Kawasaki disease who had an acute ischemic limb from a thrombosed popliteal aneurysm that formed as a result of the disease. This is the first known case report of Kawasaki disease resulting in delayed lower extremity ischemia. Typical findings of patients with Kawasaki disease are presented, along with a case report and review of the literature. A history of Kawasaki disease is an extremely rare but possible cause of peripheral aneurysms, even in middle-aged patients.
已知川崎病会引发中小血管的血管炎，并随后形成动脉瘤。该疾病的大多数严重表现是由冠状动脉瘤形成所致。然而，有文献记载许多其他动脉也会受累。本文介绍了一例有川崎病病史的中年男性病例，他因该病形成的腘动脉瘤血栓形成而出现急性肢体缺血。这是首例已知的因川崎病导致下肢延迟性缺血的病例报告。文中呈现了川崎病患者的典型表现，同时还有病例报告及文献综述。川崎病病史是外周动脉瘤极其罕见但有可能的病因，即便在中年患者中也是如此。
