가와사키병에서 나타난 급성 음낭증 1예

• Published in: Pediatric infection & vaccine Vol. 24; no. 1; pp. 60 - 64
• Main Authors: 강하영, Ha Young Kang, 주은영, Eun Young Joo, 김동현, Dong Hyun Kim, 홍영진, Young Jin Hong
• Format: Journal Article
• Language: Korean
• Published: 대한소아감염학회 30.04.2017
• Subjects: Mucocutaneous lymph node syndrome; Testicular hydrocele; Urological manifestations; 소아과학; Testicular hydrocele; Urological manifestations; Mucocutaneous lymph node syndrome
• ISSN: 2384-1079; 2384-1087
• DOI: 10.14776/piv.2017.24.1.60

급성 음낭증은 갑작스런 음낭의 부종과 통증을 주소로 하는 음낭의 병적 상태를 말하는 것으로 가와 사키의 드문 합병증으로 알려져 있다. 저자들은 급성 음낭증을 동반한 가와사키병으로 진단된 2개월 남자 환아를 경험하였으며, 환아는 정맥 면역글로불린 및 아스피린 투여 후 발열과 가와사키병의 임상 증상들이 호전되었고 2달째에 고환 초음파검사에서 급성 음낭증의 호전을 확인하고 심장 초음파 검사에서 관상동맥 합병증이 보이지 않아 치료를 종료하였다 Kawasaki disease (KD) is a systemic vasculitis that occurs predominantly in infants and young children. The etiology of KD is unknown and coronary heart disease is a major complication of KD. Acute scrotum is a rare complication of acute KD, and not as well recognized as other manifestations of the disease. We report a 2-month-old boy with acute scrotum in the acute phase of KD. He was treated with intravenous immunoglobulin (total 2 g/kg) and aspirin (50 mg/kg/day). The treatment was effective in resolving his fever and other clinical symptoms, but 2 days after starting treatment he experienced scrotal swelling. Scrotal ultrasound and transillumination were used in the diagnosis of acute scrotum. After 2 months, a follow-up testicular ultrasound revealed a remission of the acute scrotum. Subsequently, he has been followed up for KD.