12 patients with atypical clinical manifestations of Kawasaki disease.docVIP

 PAGE \* MERGEFORMAT 5 12 patients with atypical clinical manifestations of Kawasaki disease [Abstract] Objective To improve the clinical understanding of atypical Kawasaki disease, early diagnosis, early treatment and reduce the incidence of cardiovascular complications. Methods March 2008 -2 010 years, admitted between March 12 clinical cases of atypical Kawasaki disease summary and analysis of performance. Results age of 6 months or more and more infants and young children, the boy in the girls high incidence, clinical manifestations included fever greater than 5 days with cough, had coronary artery lesions. Conclusions are not typical of Kawasaki disease multiple or more than 6 months in infants, early coronary ultrasound for early diagnosis. [Keywords:] are not typical of Kawasaki disease; clinical manifestations To improve the understanding of atypical Kawasaki disease, we treated 12 cases of atypical Kawasaki disease clinical manifestations, diagnosis, treatment and outcome were discussed, are as follows. 1 Materials and Methods 1.1 General Information March 2008 -2 010 years, admitted to our department between March 12 cases, including 8 males and 4 females, male to female ratio of 2:1, aged 10 months to 5 years, 10 months to 3 10 patients aged 3 to 5 years in 2 cases. 1.2 Diagnosis of atypical Kawasaki disease study classes recommended by the Japanese Kawasaki Disease Diagnostic criteria of Kawasaki disease [1]. And except for EB virus, Mycoplasma pneumoniae, hemolytic streptococcus infection in .12 patients had such censorship blood, urine , CRP, ESR, enzymes, liver biochemistry, electrocardiogram, cardiac ultrasound, X-ray examination. 2 Results 2.1 The performance of 12 patients were clinically manifested as persistent fever greater than 5 days with cough, fever, mostly middle-degree fever, cough is not severe, only 2 patients had bilateral conjunctival hyperemia, 2 cases of cervical lymph nodes larger than 1.5cm, 1 patient h