A report of two cases of Kawasaki disease treated with plasma exchange

被引：17

作者：

Harada, Tomonori ^{[1
]}

Ito, Shuichi ^{[1
]}

Shiga, Kentaro ^{[1
]}

Inaba, Aya ^{[1
]}

Machida, Hiroyuki ^{[1
]}

Aihara, Yukoh ^{[1
]}

Yokota, Shumpei ^{[1
]}

机构：

[1] Yokohama City Univ, Med Ctr, Childrens Med Ctr, Minami Ku, Yokohama, Kanagawa 2320024, Japan

来源：

THERAPEUTIC APHERESIS AND DIALYSIS | 2008年 / 12卷 / 02期

关键词：

acute heart failure; coronary artery lesions; Kawasaki disease; plasma exchange; shock;

D O I：

10.1111/j.1744-9987.2008.00566.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Kawasaki disease is a generalized vasculitis of unknown etiology that occurs predominantly in infants and young children. It is very important to prevent its cardiovascular manifestations, especially coronary artery lesions. Early treatment with intravenous immunoglobulin reduces cardiovascular sequelae, but some patients do not respond to this treatment, and they have a high incidence of coronary artery lesions. On the other hand, acute heart failure is rare in Kawasaki disease. We report on the cases of two patients with persistent fever and shock even after intravenous immunoglobulin therapy. In both cases, plasma exchange may have reduced the risk of coronary artery lesions and proved effective against acute heart failure with catecholamine-refractory shock; yet the mechanism of this improvement remains unclear.

引用

页码：176 / 179

页数：4

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