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复发性川畸氏病临床较少见。复发病例中,首次发病时多不能及时作出诊断。作者报告一例相隔一年之久两次发病者,第二次发病时还发生冠状动脉动脉瘤病变。病例:12月男孩,于1983年2月急起发热,次日手掌及指、脚蹠及趾肿胀,发红,全身多形型皮疹,结膜充血,唇皲裂。给与阿斯匹林治疗8天,无效而住院。体检:烦燥,热病容,咽,舌弥漫发红,指趾肿硬,紫绀,躯干,四肢红色斑丘疹,尊麻疹,锁骨下和腹股沟区多个淋巴结轻度肿大,心脏检查正常。住院继续阿斯匹林治疗,体温持续增高达14天。发病第16天开始手掌,脚蹠,指和趾明显脱皮。实验室检查:外周血白细胞17100/毫米~3,
Recurrent Chuanxiongshi clinical rare. Recurrent cases, the first time the incidence can not make timely diagnosis. The authors report a case of illness occurring twice a year apart and a second case of coronary artery aneurysm. Case: December boy, rapid onset of fever in February 1983, the next day palm and fingers, foot and plantar and toe swelling, redness, systemic pleomorphic rash, conjunctival hyperemia, lip chapped. Given aspirin treatment for 8 days, invalid and hospitalized. Physical examination: irritability, fever, throat, tongue filled with redness, toe swelling, cyanosis, torso, limbs rash, measles, subclavian and groin lymph nodes slightly enlarged, the heart check. Inpatient continued aspirin treatment, body temperature continued to increase for up to 14 days. The onset of the first 16 days palms, plantar, finger and toe significantly peeling. Laboratory tests: peripheral blood leukocytes 17100 / mm ~ 3,