A case of rectal ulcers during aspirin therapy in acute Kawasaki disease

被引：3

作者：

Han, Yong ^{[1
]}

Hu, Chenmin ^{[1
]}

Yu, Yanping ^{[1
]}

机构：

[1] Zhejiang Univ, Sch Med, Affiliated Hangzhou Peoples Hosp 1, Dept Pediat, Hangzhou, Peoples R China

来源：

PEDIATRIC RHEUMATOLOGY | 2020年 / 18卷 / 01期

关键词：

Kawasaki disease; Gastrointestinal hemorrhage; Rectal ulcer; Aspirin;

D O I：

10.1186/s12969-020-0414-6

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Kawasaki disease (KD) is an acute febrile multisystem vasculitis and has been recognized to be one of the most common causes of acquired heart disease in children. Although gastrointestinal symptoms including vomiting, diarrhea, and abdominal pain are not uncommon in KD patients, KD with lower gastrointestinal bleeding is quite rare. Here, we describe a 3-year-old boy with typical KD who had lower gastrointestinal bleeding caused by rectal ulcers on the third day of aspirin therapy.

引用

收藏

页数：3

相关论文

共 8 条

[1]

Chang Chien-Hsi, 2004, Acta Paediatrica Taiwanica, V45, P171

[2] High-Dose Aspirin Is Associated with Anemia and Does Not Confer Benefit to Disease Outcomes in Kawasaki Disease [J].

Kuo, Ho-Chang ;

Lo, Mao-Hung ;

Hsieh, Kai-Sheng ;

Guo, Mindy Ming-Huey ;

Huang, Ying-Hsien .

PLOS ONE, 2015, 10 (12)

[3] Gastrointestinal hemorrhage complicating aspirin therapy in acute Kawasaki disease [J].

Matsubara, T ;

Mason, W ;

Kashani, IA ;

Kligerman, M ;

Burns, JC .

JOURNAL OF PEDIATRICS, 1996, 128 (05) :701-703

[4] Types of Colitis Based on Histology [J].

Sherid, Muhammed ;

Ehrenpreis, Eli D. .

DM DISEASE-A-MONTH, 2011, 57 (09) :457-489

[5] Colonic mucosal lesions associated with long-term or short-term administration of nonsteroidal anti-inflammatory drugs [J].

Shibuya, Tomoyoshi ;

Ohkusa, Toshifumi ;

Yokoyama, Tetsuji ;

Harada, Akira ;

Beppu, Kazuko ;

Sakamoto, Naoto ;

Osada, Taro ;

Nagahara, Akihito ;

Terai, Takeshi ;

Otaka, Michiro ;

Ogihara, Tatsuo ;

Watanabe, Sumio .

COLORECTAL DISEASE, 2010, 12 (11) :1113-1121

[6] Atypical Kawasaki disease and gastrointestinal manifestations [J].

Singh, Ravinder ;

Ward, Colin ;

Walton, Mark ;

Persad, Rabin .

PAEDIATRICS & CHILD HEALTH, 2007, 12 (03) :235-237

[7] Efficacy between low and high dose aspirin for the initial treatment of Kawasaki disease: Current evidence based on a meta-analysis [J].

Zheng, Xiaolan ;

Yue, Peng ;

Liu, Lei ;

Tang, Changqing ;

Ma, Fan ;

Zhang, Yi ;

Wang, Chuan ;

Duan, Hongyu ;

Zhou, Kaiyu ;

Hua, Yimin ;

Wu, Gang ;

Li, Yifei .

PLOS ONE, 2019, 14 (05)

[8] Acute surgical abdomen as presenting manifestation of Kawasaki disease [J].

Zulian, F ;

Falcini, F ;

Zancan, L ;

Martini, G ;

Secchieri, S ;

Luzzatto, C ;

Zacchello, F .

JOURNAL OF PEDIATRICS, 2003, 142 (06) :731-735