关键词: Kawasaki atypical Kawasaki cellulitis eosinophilia incomplete Kawasaki vasculitis

Mesh : Male Child Humans Child, Preschool Mucocutaneous Lymph Node Syndrome / complications diagnosis Cellulitis / diagnosis etiology Fever Exanthema

来  源:   DOI:10.1111/pde.15494

Abstract:
Kawasaki disease (KD) is an acute small to medium-vessel vasculitis that primarily affects children under the age of 5 years. The cause of KD is unknown, but it is hypothesized to be a systemic inflammatory illness triggered by infections in genetically predisposed individuals. Diagnosis of incomplete KD is made in patients with prolonged fever without a source who do not meet diagnostic criteria but have some findings consistent with KD such as elevated inflammatory markers, transaminitis, and echocardiographic findings. We present a 7-year-old boy who developed 10 days of fevers and rash that began 3 days after his first dose of hepatitis A vaccination and had notable features of a peculiar cellulitis-like plaque and peripheral eosinophilia.
摘要:
川崎病(KD)是一种急性中小血管血管炎,主要影响5岁以下的儿童。KD的病因不明,但它被认为是由遗传易感个体感染引发的全身性炎症性疾病。不完全KD的诊断是在没有来源的长期发烧患者中进行的,这些患者不符合诊断标准,但有一些与KD一致的发现,例如炎症标志物升高。转胺炎,和超声心动图检查结果。我们介绍了一个7岁的男孩,他在首次接种甲型肝炎疫苗3天后出现了10天的发烧和皮疹,并具有特殊的蜂窝织炎样斑块和周围嗜酸性粒细胞增多的显着特征。
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