一過性角膜混濁を生じた川崎病の1例

A case of Kawasaki disease with transient corneal opacity

　5か月男児の川崎病治療経過中，全身症状寛解後に，一過性の感冒様症状出現と共に両眼の角膜実質混濁を認めた。混濁は，両眼ほぼ同程度に角膜全体がスリガラス状を呈し，球結膜充血，びまん性表層角膜炎を伴った。非ステロイド系抗炎症剤点眼で，約2週間の間に角膜周辺部より徐々に透明化した。本症例にみたような角膜実質混濁合併の報告は川崎病では少なく，眼症状として稀ではあるが，追加すべき一症状と考えられた。

A 5-month-old male infant presented with bila-teral corneal opacity on day 36 after onset of Kawasaki disease. The stromal opacity seemed to have developed following symptoms of common cold after initial remission of Kawasaki disease.The corneal opacity was the same in intensity in both eyes, simulating frosted glass. It was ac-companied by conjunctival injection and punctate epithelial lesion. The corneal opacity started to gradually disappear starting with the limbal por-tion after initiation of instillation of pranoprofen ophthalmic solution. The present case is of interest as there has been no reported incidence of corneal stromal opacity associated with Kawasaki disease so far.