Kawasaki Disease Flashcards
1
Q
what
A
systemic, medium sized vessel vasculitis
affects young children, usually < 5yrs
2
Q
key complication
A
coronary artery aneurysm
3
Q
clinical features
A
high fever >39º >5days widespread maculopapular rash desquamation strawberry tongue lymphadenopathy bilateral conjunctivitis
4
Q
Ix - FBC
A
anaemia
raised WCC + plateelts
5
Q
Ix - LFT
A
low albumin
elevated liver enzymes
6
Q
Ix - inflammatory markers
A
raised, esp ESR
7
Q
acute phase
A
child most unwell
fever, rash, lymphadenopathy
1-2wks
8
Q
subacute phase
A
desquemation + arthralgia
risk coronary artery aneurym forming
2-4wks
9
Q
convalescent stage
A
remaining symptoms settle
blood tests turn to normal
2-4wks
10
Q
first line medical treatments
A
high dose aspirin
IV Ig
11
Q
aspirin use in children
A
kawasaki in one of few scenarios give aspirin to children
usually avoided due to risk of Reye’s syndrome (liver and brain swelling)
