Journal of Clinical Pediatrics ›› 2020, Vol. 38 ›› Issue (10): 754-.doi: 10.3969/j.issn.1000-3606.2020.10.008
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MA Yingying, PENG Shao, CHU Weihong, GAO Yiwei, ZHANG Man, XU Liyan, GAO Yuan, MIAO Xueyan
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Abstract: Objective To?explore?the?clinical?features?of?incomplete?Kawasaki?disease?(IKD)?with?first?symptoms?of? fever?and?jaundice.?Method The?clinical?data?of?incomplete?KD?with?the?first?symptoms?of?fever?and?jaundice?in?2?cases?were? retrospectively?analyzed,?and?relevant?literature?was?reviewed.?Results In?two?patients?(3-year-?and?9-month-old?boy?and?a? 10-year-old?girl),?the?main?early?symptoms?were?fever,?yellowish?skin,?lymphadenopathy?and?bulbar?conjunctival?hyperemia,? and?no?rash.?They?presented?with?periungual?and?perianal?desquamation?and?coronary?artery?ectasia?at?the?later?stage.?The?boy? developed?oculomotor?palsy?and?gamma?globulin?resistance,?and?the?girl?developed?KD?shock?syndrome.?Conclusion The diagnosis?in?IKD?children?with?fever?and?jaundice?as?the?first?symptoms?may?be?delayed?due?to?atypical?symptoms.
Key words: jaundice;? incomplete?Kawasaki?disease;? Kawasaki?disease?shock?syndrome;? oculomotor?nerve?palsy
MA Yingying, PENG Shao, CHU Weihong, et al. Incomplete Kawasaki disease with initial symptoms of fever and jaundice: a report of 2 cases and literature review[J].Journal of Clinical Pediatrics, 2020, 38(10): 754-.
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https://jcp.xinhuamed.com.cn/EN/Y2020/V38/I10/754
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