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《Journal of Bethune Medical Science》 2014-04
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Clinical diagnostic analysis of 60 cases of atypical kawasaki disease

LI Jun;Li Cheng;Wang Shangzhong;Department of Paediatrics,Dongcheng Hospital of Dongguan;  
Objective To discuss the clinical characteristics of atypical kawasaki disease and provide reference for clinical diagnosis and treatment. Methods Clinical data of 60 cases of atypical kawasaki disease was retrospectively analyzed. Results The age distribution of the patients was mostly 1 to 3 years,accounting for 68. 33%,and the confirmed time was 5 days,accounting for65. 00%. In signs and symptoms,the rates of fever time 5 days,eye conjunctival congestion and oral cavity mucous membrane changes were 98. 33%,91. 67% and 81. 67% respectively,standing the highest of all. The positive rates of laboratory tests on admission such as elevated blood sedimentation( ESR),elevated white blood cells( WBC),elevated c-reactive protein( CRP),reduced hemoglobin( HB),albumin,elevated platelets( PLT),reduced serum sodium,reduced potassium were 88. 33%,85. 00%,81. 67%,80. 00%,56. 67%,48. 33%,43. 33%,25. 00% respectively. Conclusion The primary clinical symptoms and signs of the patients of atypical kawasaki disease are not characteristic,and children patients with fever of unknown origin should undertake laboratory examinations as early as possible,upon which clinical diagnosis should be made.
【CateGory Index】: R725.4
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