Kawasaki disease in children with atypical clinical analysis of 37 cases.docVIP

 PAGE \* MERGEFORMAT 13 Kawasaki disease in children with atypical clinical analysis of 37 cases [Abstract] Objective: Atypical Kawasaki disease (KD clinical features, early diagnosis and treatment to reduce the extent of coronary artery disease and improve prognosis. Methods: From January 2000 to February 2009 were treated 37 cases of atypical KD KD patients and 60 patients with typical clinical data for retrospective analysis, and statistical comparison. Results: The atypical KD incidence in infants was higher than the typical KD. symptoms typical of KD group was higher than the incidence of atypical group, The atypical KD group the incidence of perianal congestive scaling erythema at the BCG vaccination and the incidence rate higher than the typical KD group. atypical KD coronary artery involvement is higher than the typical group. Conclusion: Atypical KD occurred in the infant period, and are more likely than the typical coronary artery involvement in KD. so diagnosis should pay attention to other indicators of the typical clinical symptoms, signs, laboratory abnormalities, and that in combination with echocardiography for coronary artery disease has been detected simultaneously perianal congestive erythema scaling and card spot at the Kawasaki disease can also be used as a basis for judging. [Keywords:] atypical, Kawasaki disease, coronary artery disease, diagnosis Kawasaki disease (KD incidence gradually increased in recent years is mainly involved small arteries in childhood acute non-specific systemic vasculitis, which involved the most important coronary artery, and its secondary to coronary artery disease such as coronary aneurysm, coronary artery stenosis so can cause coronary artery aneurysm, myocardial infarction and other serious complications, is to determine the severity of disease and prognostic factors, its prevention is the key to timely diagnosis and effective treatment. KD diagnosis was based primarily on clinical features the perf