Nail visible horizontal groove spinning how to distinguish?

Update Date: 2022-09-15 Source: Network

summary

Mucocutaneous lymph node syndrome, also known as Kawasaki disease, is an acute febrile eruptive disease in children characterized by systemic vasculitis. In the recovery period, transverse groove spinning can be seen on the nail. The clinical manifestations include fever, rash, etc. it is speculated to be related to infection. It is generally believed that it may be a variety of pathogens. How can we identify the nail with transverse groove? Let's talk about it

Nail visible horizontal groove spinning how to distinguish?

The differences between this disease and scarlet fever are as follows: (1) the rash begins 3 days after the onset of the disease; ② The appearance of the rash was similar to that of measles and erythema multiforme; ③ The most common age is infants and young children; ④ Penicillin had no effect.

The differences between this disease and juvenile rheumatoid diseases are as follows: (1) the fever period is short and the rash is short; ② The hands and feet are hard and swollen, showing frequent red feet; ③ Rheumatoid factor was negative. The differences from exudative erythema multiforme are as follows: (1) eyes, lips, non purulent secretions and pseudomembrane formation; ② The rash does not include blisters and crusts.

Different from systemic lupus erythematosus, the rash is not obvious on the face; ② The total number of leukocytes and platelets generally increased; ③ Antinuclear antibody was negative. ④ The most common age is infants and boys. There are many similarities with the symptoms of infantile nodular arteria, but MCLS has a high incidence rate, short duration and good prognosis. The relationship between the two diseases remains to be studied.

matters needing attention

Gamma globulin studies have confirmed that early intravenous infusion of gamma globulin plus oral aspirin can reduce the incidence of coronary artery aneurysm in Kawasaki disease. It must be emphasized that the drug should be used within 10 days after the onset of the disease.