最近审阅: 3 十一月 2020
最近更新: 28 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 多形性皮疹
  • 结膜充血
  • 粘膜炎
  • 外周四肢皮肤变化
  • 颈淋巴结增大
  • 冠状动脉瘤
  • 发热和极易激惹

其他诊断因素

  • 渗出性心包炎
  • 充血性心力衰竭
  • 关节痛或水肿
  • 神经系统表现
  • 胃肠道临床表现
  • 泌尿系统临床表现
  • 其他皮肤临床表现

危险因素

  • 亚洲裔
  • 年龄 3 个月至 4 岁
  • 男性

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血清红细胞沉降率 (ESR)
  • 血清 CRP
  • 超声心动图
更多 首要检查

需考虑的检查

  • 血清肝功能检查
  • 尿液分析
  • 胸部 X 线检查
  • 心电图
  • 胆囊超声检查
  • 睾丸超声检查
  • 腰椎穿刺:
更多 需考虑的检查

新兴检查

  • 磁共振血管造影术
  • 心导管检查和血管造影术
更多 新兴检查

治疗流程

撰稿人

Professor of Pediatrics and Chief

Division of Pediatric Rheumatology

LSU Health Sciences Center and Children's Hospital

New Orleans

LA

利益声明

AG declares that he has no competing interests.

Assistant Professor of Clinical Pediatrics

Department of Pediatric Cardiology

Children's Hospital

New Orleans

LA

利益声明

JK declares that he is a paid consultant for Axia Medical Solutions, a small skincare company from Carlsbad, CA.

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Professor of International Child Health

Imperial College London

London

利益声明

ML declares that he has no competing interests

Editor in Chief

Journal of Clinical Pediatrics

Department of Pediatrics

Division of Infectious Diseases

Ochsner Children's Health Center

New Orleans

LA

利益声明

RWS declares that he has no competing interests.

Clinical Professor of Pediatrics

Department of Pediatrics

Oregon Health Science University

Portland

OR

利益声明

JLE declares that he has no competing interests.

Principal Research Fellow

Murdoch Childrens Research Institute

The Royal Children’s Hospital

Victoria

Australia

利益声明

DB has received competitive research funding from the National Heart Foundation Australia and from the Agency for Science, Technology and Research of the Singapore Government. He is co-inventor on a patent related to diagnostics submitted through the Genome Institute of Singapore.

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