Diagnosis and treatment of 16 cases of Kawasaki disease in children.docVIP

 PAGE \* MERGEFORMAT 6 Diagnosis and treatment of 16 cases of Kawasaki disease in children Kawasaki disease (Kawasaki disease, KD) also known as mucocutaneous lymph node syndrome, KD often complicated by coronary artery abnormalities, has become a pediatric a major cause of acquired heart disease, one of [1]. The main clinical manifestations of Kawasaki disease does not have a specific, non-typical cases of this disease by about 20% [2], delay in diagnosis and treatment is one of the main cardiovascular involvement [3]. Now I Section 1997 to December 2004 treated 16 cases of children with the analysis, the report is as follows. 1 Data and methods 1.1 General Information Clinical diagnostic criteria are in line with Japanese MCIS Research Council (1984) to propose the diagnostic criteria [4], in which 9 males and 7 females, male to female ratio 1.3:1; onset age of 6 months to 6 years, 6 months to 1 years and 8 cases, 4 cases of ~ 2 years of age, ~ 4 years old in 3 cases, 6 years in 1 case. 1.2 Clinical manifestations 16 cases have fever, most for sustained high fever, fever and a minimum 7 days, the longest 20 days in which ≤ 14 days 13 cases, amp;quot;14 days, three cases; all the children were accompanied by rash, fever, after most of the 3 ~ 4 days there, mainly in the trunk skin, showed pink erythema multiforme-like rash in 9 cases, the remaining samples showed measles, scarlet fever, urticaria-like rash, no blisters, and crusting; ball conjunctival hyperemia in 13 cases, the performance of as a transient, in the heat 3 to 4 days there; Hand-Foot-hard swelling in 14 cases, about 10 days or so that nail membrane peeling in 13 cases, of which 3 cases with perianal desquamation; 16 cases of lips are chapped, red bayberry tongue, no ulcer disease occurred after 4 ~ 6 days; cervical lymph nodes in 9 cases. 1.3 assistant examination 1.3.1 Laboratory tests Cha routine blood test in 16 cases, WBC increased in 6 cases, in order to increase mainly neutrophil