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Kawasaki disease with G6PD deficiencya case report and literature review

  

  1. Department of Pediatrics,  the First Affiliated Hospital of Xiamen University, Pediatric Key Laboratory
    of  Xiamen, Institute of Pediatrics, School of Medicine,Xiamen University, Xiamen 361003,  China
  • Online:2020-06-20 Published:2020-05-18
  • Contact: Corresponding author:Chen Xianrui, Email: chenxianruimiao@163. com

Abstract: Kawasaki disease is a systemic vasculitis.  The most serious complications are coronary artery dilatation and coronary artery aneurysm.  The main treatments include highdose gamma globulin intravenous drip and oral aspirin.  G6PD deficiency is usually considered a relative contraindication of aspirin intake.  In this paper,  we reported that the color Doppler ultrasound of children with Kawasaki disease complicated with G6PD deficiency showed coronary aneurysm formation.  After highdose gamma globulin intravenous drip,  plus lowdose aspirin for preventing platelet aggregation,  a successful diagnosis and treatment process was obtained.  And the relevant literature was reviewed to arouse the attention of clinicians and to provide reference for clinical work.

Key words: mucocutaneous lymph node syndrome, glucosephosphate dehydrogenase deficiency, aspirin, anemia, , hemolytic, child