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ۼ kskd
Ҿ ͻ糢 ܽ ؾ

<ҿ ͻ糢 ؾ >

ҿ ͻ糢 5̻ ӵǴ ͻ糢 ֿ 2-3 Ÿ ϰ Ǵµ ϰ ϱ ̱ ȸ 2004 ˰ ֱ ϳ ȯ ϴ ִ. ̷ ϰ ͻ糢 ȥ ִ ȯ ϸ鼭 ϵ ؾ Ѵ. 


 

1. ҿ ͻ糢 ؾ ϴ ȯ 

1) Ƶ̷ (Adenovirus infection)
 

Ƶ ̷ Ҿƿ ϰ ǰ Ҿ 10% nasopharyhgeal swab PCR 缺̹Ƿ ͻ糢 ( KD) ȯڿ ϰ ֱ Ƶ ̷ KD ִ ߿ϴ. Ȳ ϰ ϴ Ƶ ̷ KD , ȭ, ȭ CRP 7.0 mg/dl̻ µǴ ALT ° ռ 󴢵 ǰ ִ. NT-proBNP µ NT-proBNP 265̻ KD ɼ õǰ ִ. 

2) ռ (Bacterial cervical lymphadenitis, BCL)
 

ͻ糢 ٸ ֿ Ÿ Ÿ Node-first KD (NFKD) ռ ִ. 

ȯ NFKD BCL ESR, CRP, ALT ˻ CT ˻翡 پ ũ ó ִ Ư¡̰ ̿ BCL 켼ϰ ū ִ Ư¡̴. 

3) ij (Retropharyngeal abscess)
 

CTԿ ϰ I & D Ŀ ӵǴ ڴʰ KD ܵǴ ִ. ̷ CT ĺο low density area ̸ ؾ ϴµ CT KD ޸ low density ڸ (ring enhancement) ̰ mass effect δٴ ̴. 

4) Ҽ (Systemic onset juvenile arthritis, SoJIA)
 

ȯ ۵ ʱ⿡ KD ϰ   , ġ ̰ δ 󵿸 Ȯ Ǵ Ұߵ ִ SoJIA KD 83% ݵǴ Ǵ (anterior uveitis) intermittent, Ÿ KD ȴ. 


 

2. ҿ ͻ糢 ܽ Ǵ Ұߵ 

1) BCG  
 

ٸ febrile illness 10% ̳ KD 42% ϴ Ǿ ְ Ư ̷ ȭ ̴ BCG 1000 ̸ ̾ 3 KDǽȯƿ BCG Ȯϴ ʿϴ. 

2) (Anterior uveitis)
 

Ҿƿ ȯ Ҽ Բ ִ KDɼ ִ. Ư 4 ̻ ƿ Ǵ Ǿ ִ. 

3) N-terminal proBNP

̴ KD ɱ ħ ûϸ ޼⿡ ߴٰ Ʊ޼Ⱑ Ǹ ϴ Ǿ ־ KD ܿ Ǵ ˻ CRP, ALT ܿ ġ KD ܿ Ǵ cut off ġ ϰ ־ ϸ ȴ. 
 
* ÷ : ѼҾưȸ ҽ 系


÷
ҿ ͻ糢 _no99_1_file.pdf
̸ йȣ



* ѱ 1000 Է° :


 
 
 
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