摘要
欧美国家发现,2019冠状病毒病(COVID-19)流行以来,川崎病的发生率明显上升,引发儿科医师与家长的担忧。COVID-19会引起全身多个器官出现炎症反应,与川崎病的全身系统血管炎性改变类似,甚至COVID-19也会造成四肢末端的皮肤红疹,这也与川崎病类似。川崎病的病因目前尚不明确,现在也不能除外COVID-19与川崎病的发病率增加有关。因此,在COVID-19流行期间,如果患儿出现类似于川崎病样症状,应尽早使用静脉注射免疫球蛋白治疗,降低冠状动脉损害的发生。
Since the outbreak of coronavirus disease 2019(COVID-19)in Europe and America,the incidence of Kawasaki disease has significantly increased,which has aroused concern among pediatricians and parents.COVID-19 can cause inflammation reactions of multiple organs,which is similar to the systemic vasculitis of Kawasaki disease,and even COVID-19 can cause skin rash on the extremities of the limbs,which is also similar to Kawasaki disease.The cause of Kawasaki disease is currently unclear,and it cannot be ruled out that COVID-19 is associated with an increased incidence of Kawasaki disease.Therefore,during the epidemic of COVID-19,if children have symptoms similar to Kawasaki disease,intravenous immunoglobulin is recommended as early as possible to reduce the incidence of coronary artery lesions.
作者
焦富勇
JIAO Fu-Yong(Center of Diagnosis and Treatment of Kawasaki Disease in Shaanxi Province/Children’s Hospital,Shaanxi Provincial People’s Hospital,Xi'an 710068,China)
出处
《中国当代儿科杂志》
CAS
CSCD
北大核心
2020年第7期677-678,共2页
Chinese Journal of Contemporary Pediatrics