静脉注射免疫球蛋白无应答不完全性川崎病1例临床经验交流

Clinical experience in the treatment of incomplete Kawasaki disease with no response to intravenous immunoglobulin:a case report

该文报道1例静脉注射免疫球蛋白(intravenous immunogloblin,IVIG)无应答不完全性川崎病患儿。1岁女性患儿,表现为发热、皮疹、指端脱皮、冠状动脉扩张,给予第一剂IVIG治疗结束36 h后仍发热,再次给予第二剂IVIG治疗后体温恢复正常,出院1个月后随访冠状动脉内径恢复正常。该文总结了IVIG无应答不完全性川崎病的诊治经验,以期减少冠状动脉损害的发生。

This article reports a case of incomplete Kawasaki disease with no response to intravenous immunoglobulin(IVIG).A girl,aged 1 year,had the symptoms of fever,rash,finger desquamation,and coronary artery ectasia.She still had fever at 36 hours after the first dose of IVIG treatment,and her temperature returned to normal after the second dose of IVIG treatment.The follow-up after 1 month showed that the coronary artery diameter returned to normal.This article summarizes the experience in the treatment of incomplete Kawasaki disease with no response to IVIG in order to reduce the incidence of coronary artery damage.