Acute febrile mucocutaneous lymph node syndrome (Kawasaki disease) in adults: case report and review of the literature.

J Tomiyama, Y Hasegawa, Y Kumagai, Y Adachi, K Karasawa
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引用次数: 21

Abstract

A 25-year-old female meeting all six criteria for Kawasaki disease is reported. A total of 22 reported cases of adult Kawasaki disease, including the present case, are reviewed. In adult Kawasaki disease, arthralgia, gastrointestinal complications and hepatic dysfunction are seen more frequently than in childhood cases. Cardiac complications are rarely seen in adult Kawasaki disease. Two cases have been positive for anti-nuclear antibody (ANA). The present patient had increased levels of serum IgE and was positive for ANA, suggesting involvement of an immune mechanism. Adult Kawasaki disease is rare but appears to be on the increase; internists treating adults must be aware of this disease.

成人急性发热性粘膜皮肤淋巴结综合征(川崎病):病例报告及文献复习。
报告1例25岁女性符合川崎病的全部6项标准。本文审查了22例成人川崎病的报告病例,包括本病例。在成人川崎病中,关节痛、胃肠道并发症和肝功能障碍比儿童病例更常见。心脏并发症在成人川崎病中很少见。2例抗核抗体(ANA)阳性。本例患者血清IgE水平升高,ANA阳性,提示与免疫机制有关。成人川崎病很少见,但似乎呈上升趋势;治疗成人的内科医生必须了解这种疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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