Journal of Clinical Pediatrics ›› 2020, Vol. 38 ›› Issue (10): 754-.doi: 10.3969/j.issn.1000-3606.2020.10.008

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Incomplete Kawasaki disease with initial symptoms of fever and jaundice: a report of 2 cases and literature review

MA Yingying, PENG Shao, CHU Weihong, GAO Yiwei, ZHANG Man, XU Liyan, GAO Yuan, MIAO Xueyan   

  1. Department of Pediatrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China
  • Online:2020-10-15 Published:2020-10-10

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