Kawasaki Flashcards

1
Q

Critères diagnostiques

A

Fièvre 5 j + 4 autres
Conjonctivite bilatérale non purulente
Trouvailles pro pharyngées( lèvres fissurées, langue framboisée, hyperhémie)
ADP cervicales unilatérales >1.5 cm
Érythème, desquamation, Oedeme palmoplantaire
Exanthème polymorphe

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2
Q

Manifestation initiale

A

Érythème perianal

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3
Q

Population à risque

A

Enfants <5 ans

Asiatiques

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4
Q

Risques complications

A
Cardiaque (myo/péricardite)
CNS (meningitis)
Musculosk (arthrite)
GI
Génito-urinaires
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5
Q

Labo

A
>GB (neutro)
Anémie 
VS/CRP élevés 
Transaminases >
Alb <
Pyurie stérile 
Après 2-3 semaines: thrombocytose
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6
Q

Differentiel

A
Exanthème viral
Scarlatine 
Toxic choc syndrome 
Early SSSS
Réaction médicamenteuse 
EM
Maladie de Still
Syndrome des fièvres périodiques
Serum sickness
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7
Q

Traitement

A

IVIg + AAS

stéroïdes et biologiques si réfractaire

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