PDF(Pubmed)
Abstract：
This case report describes a 21-year-old female who was diagnosed with Kawasaki disease (KD), a rare condition in adults. Careful clinical assessment, including the history of a recent upper respiratory tract infection and the physical findings of fever, sinus tachycardia, strawberry tongue, and skin peeling of the hands and feet, prompted further evaluation. Laboratory findings supported an inflammatory process, and multidisciplinary consultations led to the diagnosis of KD. Prompt treatment with acetylsalicylic acid and intravenous immunoglobulin resulted in rapid improvement and prevention of the severe complications associated with untreated KD, particularly in the cardiovascular system. This case emphasizes the importance of the high risk of suspicion and the need for a comprehensive evaluation in atypical presentations of KD in adults, where early recognition and management are crucial to prevent long-term sequelae such as coronary artery aneurysms and myocardial infarction.
摘要：
该病例报告描述了一名21岁的女性，她被诊断患有川崎病（KD），成人的罕见情况。仔细的临床评估，包括最近的上呼吸道感染史和发烧的体格检查结果，窦性心动过速,草莓舌,手和脚的皮肤脱落，促使进一步评估。实验室发现支持炎症过程，多学科咨询导致KD的诊断。及时用乙酰水杨酸和静脉注射免疫球蛋白治疗可迅速改善和预防与未经治疗的KD相关的严重并发症。尤其是在心血管系统中。该案例强调了高度怀疑风险的重要性，以及对成人KD非典型表现进行全面评估的必要性，早期识别和管理对于预防冠状动脉瘤和心肌梗死等长期后遗症至关重要。
