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Analysis for diagnosis and treatment of incomplete kawasaki disease

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Author:
No author available
Journal Title:
Chinese Journal of Primary Medicine and Pharmacy
Issue:
21
DOI:
10.3760/cma.j.issn.1008-6706.2011.21.003
Key Word:
黏膜皮肤淋巴结综合征;丙种球蛋白类;阿司匹林;误诊;Mucocutaneous lymph node syndrome;Gamma-Globulins;Aspirin;Diagnostic errors

Abstract: Objective To explore the diagnosis and treatment of incomplete Kawasaki disease.Methods A retrospective analysis was applied in 39 children patients clinically diagnosed as Kawasaki disease.Results Thirtynine cases were found to have a high temperature over 5 days( 100% ),30 patients with bilateral conjunctival congestion (76.9%),28 cases with cherry pink and chapped lips( 71.8% ),21 patients with erythema multiforme and erythra(53.8% ),20 cases with hand-foot scleredema(51.3% )and 10 patients with cervical lymphatic enlargement (25.6%).In addition to the high temperature,22 cases were found to have three classic clinical diagnostic characterstics(56.4% ),and 17 patients with two classic characterstics(43.6% ).During the course of disease,C-reactve protein was observed to increase,and erythrocyte sedimentation rate speed up significantly.Intravenous infusion of gamma globulin and oral administration of aspirin was confirmed to be effective for incomplete Kawasaki disease.Conclusion The careful observation and complete clinical examination was conducive to early diagnosis of incomplete Kawasaki disease instead of misjudge and missed diagnosis.

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