外展神经麻痹：不完全性川崎病罕见的共同表现。

IF 1.2 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos Pub Date : 2024-11-26 DOI:10.1016/j.jaapos.2024.104061

Jennifer M Lai, Dallin C Milner, Ryan Frisbie, Michael A Puente

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引用次数: 0

摘要

一个21个月大的女婴表现为急性内斜视，伴有不明原因的发热、结膜炎和皮疹。感觉运动检查显示左侧外展神经麻痹。在心源性休克后，她被发现有多个大冠状动脉动脉瘤，并被诊断为不完全性川崎病。通过阿司匹林、英夫利昔单抗和静脉注射免疫球蛋白治疗，患者的外展神经麻痹最终接近缓解。外展神经麻痹是川崎病的一种罕见的表现，可能反映了较晚的诊断和冠状动脉累及的风险增加。

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Abducens nerve palsy: a rare copresenting sign of incomplete Kawasaki Disease.

A 21-month-old girl presented with acute-onset esotropia with unexplained fever, conjunctivitis, and rash. Sensorimotor examination revealed the presence of a left abducens nerve palsy. After cardiogenic shock, she was found to have multiple large coronary artery aneurysms and was diagnosed with incomplete Kawasaki disease. The patient eventually had near-resolution of her abducens nerve palsy with treatment for her underlying Kawasaki disease through aspirin, infliximab, and intravenous immunoglobulin therapy. Abducens nerve palsy is a rare manifestation of Kawasaki disease that may reflect a late diagnosis and an increased risk of coronary artery involvement.

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来源期刊

Journal of Aapos 医学-小儿科

CiteScore

2.40

自引率

12.50%

发文量

159

审稿时长

55 days

期刊介绍： Journal of AAPOS presents expert information on children''s eye diseases and on strabismus as it affects all age groups. Major articles by leading experts in the field cover clinical and investigative studies, treatments, case reports, surgical techniques, descriptions of instrumentation, current concept reviews, and new diagnostic techniques. The Journal is the official publication of the American Association for Pediatric Ophthalmology and Strabismus.