对颈淋巴结肿大为首发症状的不典型川崎病1例分析如下。1病历摘要男,3.5岁。因发热伴左颈部肿块5 d入院。患儿于5 d前无明显诱因出现发热,最高T 39.8℃,伴寒战,口服退热药物后体温可降至37.0℃左右,数小时后复升,同时发现颈部肿物 A case of atypical Kawasaki disease which is the first symptom of cervical lymph node enlargement is analyzed as follows. 1 medical summary male, 3.5 years old. Due to fever with left neck mass 5 d admission. Children with no obvious cause of fever 5 days before the onset of fever, the highest T 39.8 ℃, with chills, oral antipyretics body temperature can be reduced to about 37.0 ℃, after a few hours recovery, and found that the neck mass