CAJ | 학술논문

临床工作中，儿科发热患儿多见，病因多样，部分患儿病情复杂且变化快。该文报道了1例川崎病合并幼年特发性关节炎患儿的诊治过程。患儿经丙种球蛋白治疗无反应后，出现关节炎症状，修正诊断为川崎病合并全身型幼年特发性关节炎，调整治疗方案后得到缓解。该例提示，川崎病及全身型幼年特发性关节炎虽有许多类似的临床表现及实验室数据，但应根据其不同点进一步鉴别诊断，以防延误治疗。
림상공작중，인과발열환인다견，병인다양，부분환인병정복잡차변화쾌。해문보도료1례천기병합병유년특발성관절염환인적진치과정。환인경병충구단백치료무반응후，출현관절염증상，수정진단위천기병합병전신형유년특발성관절염，조정치료방안후득도완해。해례제시，천기병급전신형유년특발성관절염수유허다유사적림상표현급실험실수거，단응근거기불동점진일보감별진단，이방연오치료。
In clinics,pediatric fever is commonly encountered characterized with a variety of causes, complex condition and rapid changes. This article reported the diagnosis and treatment of a child with typical kawasaki disease (KD)combined with systemic juvenile idiopathic arthritis (SJIA). After the failed therapy of administration of IVIG,the child then developed arthritis. The diagnosis was corrected to KD complicated with SJIA. The symptoms were alleviated after effective treatment. Albeit KD and SJIA share similar manifestations in clinical and laboratory tests,much attention should be paid to distinguish the differences and avoid treatment delay.