BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 危险因素的存在
  • 多形性皮疹
  • 结膜充血
  • 粘膜炎
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其他诊断因素

  • 渗出性心包炎
  • 充血性心力衰竭 (CHF)
  • 关节痛或水肿
  • 神经系统临床表现
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危险因素

  • 亚洲裔
  • 年龄 3 个月至 4 岁
  • 男性
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诊断性检查

首要检查

  • FBC
  • 血清红细胞沉降率 (ESR)
  • 血清 C 反应蛋白 (CRP)
  • 血浆肝功能检查
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需要考虑的检查

  • 胆囊超声检查
  • 睾丸超声检查
  • 腰椎穿刺术
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新兴检查

  • 磁共振血管造影术
  • 心导管检查和血管造影术
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治疗流程

急性

发病 10 天内就诊或伴有心脏并发症危险因素

发病超过 10 天后就诊且无心脏并发症危险因素

疾病持续状态

心肌缺血的风险

贡献者

Professor of Pediatrics and Chief

Division of Pediatric Rheumatology

LSU Health Sciences Center and Children's Hospital

New Orleans

LA

利益冲突披露
AG declares that he has no competing interests.

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Editor in Chief

Journal of Clinical Pediatrics

Department of Pediatrics

Division of Infectious Diseases

Ochsner Children's Health Center

New Orleans

LA

利益冲突披露
RWS declares that he has no competing interests.

Clinical Professor of Pediatrics

Department of Pediatrics

Oregon Health Science University

Portland

OR

利益冲突披露
JLE declares that he has no competing interests.

Principal Research Fellow

Murdoch Childrens Research Institute

The Royal Children’s Hospital

Victoria

Australia

利益冲突披露
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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