川畸病肾脏病变临床报道罕见,我们曾收治1例,现报告如下: 患儿女,10岁。因发热7天,浮肿、血尿3天入院。体温39℃上下,用青霉素等治疗无效,发热三天后全身皮肤出红疹,双眼睑双下肢水肿,尿呈洗肉水样。查体:T39.5℃,P144次/分,R24次/分,Bp18/12kpa。浮肿面容,双眼结膜充血,口唇皲裂,面部及躯干皮肤散在麻疹样红疹,咽充血,扁桃体Ⅱ度有渗出物,杨梅舌,颌下及颈侧淋巴结雀蛋大小成串,心闻Ⅱ°sm。双肺呼吸音粗,肝脾均肋下1.5cm,掌跖潮红,指趾端红肿压疼。尿蛋白,红细胞20～30个/Hp,白细胞3-5个 Kawasaki disease kidney disease clinical reports rare, we have admitted a case, are as follows: Children, 10 years old. 7 days due to fever, edema, hematuria 3 days admission. Body temperature 39 ℃ up and down, with penicillin and other ineffective treatment, fever three days after the skin rash, double eyelid edema, urine was washed with water samples. Physical examination: T39.5 ℃, P144 times / min, R24 times / min, Bp18 / 12kpa. Edema, conjunctival congestion of both eyes, chapped lips, chapped face and torso skin in measles-like rash, pharyngeal congestion, tonsil exudate, bayberry tongue, submandibular and cervical lymph nodes in a string size, heart smell Ⅱ ° sm Breath sounds coarse lungs, liver and spleen are ribs 1.5cm, palmoplantar flush, red toe swelling pain. Urine protein, red blood cells 20 to 30 / Hp, white blood cells 3-5