【用戶】施隆富
【年級】幼兒園下
【評論內容】Kawasaki disease好發兒童 ,80% 小於5歲 (猩紅熱好發4~8歲,超過5歲)表現 CREAM持續高燒5天,以下超過4項,可診斷口腔 (Mucosa):嘴唇乾燥、口腔黏膜泛紅(Sometimes)、草莓舌紅疹 (Rash):四肢、軀幹,多型性紅疹淋巴腫大 (Adenopathy):雙側淋巴結,非化膿腫大 (1.5cm)結膜炎 (Conjunctivitis):雙側結膜,無分泌充血紅腫浮腫 (Edema/Erythema):軀幹四肢、會陰,紅斑、浮腫脫屑 (10~12d 手指)冠狀動脈瘤,10~20%,第十天產生,80%治療IVIG (2g/kg over 10 to 12 hrs) +high-dose Aspirin (80 to 100 mg/kg/d divided in four doses) 持續至退燒後 48~72 hrs接續 low-dose Aspirin (3 to 5 mg/kg/day as a single daily dose) is continued for 6~8 wk