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題名 | Kawasaki Disease Presenting with Hepatitis and Prolonged Fever: Report of One Case=以肝炎及持續發燒表現的川崎氏症:一病例報告 |
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作者 | 陳萬德; 黃守仁; 王主科; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 44:3 民92.05-06 |
頁次 | 頁174-176+186 |
分類號 | 417.515 |
關鍵詞 | 川崎病; 肝炎; 冠狀動脈瘤; Kawasaki disease; Hepatitis; Coronary artery aneurysm; |
語文 | 英文(English) |
中文摘要 | 川崎氏症主要侵犯五歲以下的兒童。若未經治療,約有20%的病人會出現冠狀動脈瘤。我們報告一例十歲男童以肝腫大及黃疸等肝功能異常及持續發燒來表現的川崎氏症,其到了發燒後第八天出現結膜炎,第十三天出現草莓舌及四肢末段落屑情形,經超音波檢查發現多處冠狀動脈已出現動脈瘤。通常這種以非典型症狀來表現的川崎氏症,在治療上會有延遲的情形,特別是對於心臓血管方面的治療,因而死亡率亦增加。因此臨床上有持續發燒併不明原因的肝臓發炎時,在鑑別診斷上必須考慮川崎氏症的可能性。 |
英文摘要 | Kawasaki disease predominantly affects children younger than 5 years. Coronary artery an eurysms were found in around 20% of untreated patients. We report on a case of a 10-year-old who had atypical presentation of Kawasaki disease with significant hepatobiliary dysfunction, including hepatomegaly and jaundice, and persistent fever. he did not have conjunctivitis until the 8(superscript th) day of fever, and periungual desquamation and strawberry tongue until the 13(superscript th) day offever when Kawasaki disease was diagnosed. Echocardiography revealed multiple coronary artery aneurysms. Such atypical clinical poctures of Kawasaki disease may cause delay in the treatment, and the fatality rate can be increased. so, a persistent fever with jaundice should evoke the differential diagnosis of Kawasakidisease. |
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