川崎病合并幼年特发性关节炎一例

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l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。

Kawasaki disease combined with systemic juvenile idiopathic arthritis:a case report

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.