kawasaki disease Flashcards
Prolonged fever and red eyes, hands and feet in a child should raise suspicion for
Kawasaki disease.
Prolonged fever and red eyes, hands and feet in a child should raise suspicion for
Kawasaki disease.
Criteria for diagnosis
and fever for how longer over
4/5 CREAM features
Criteria for diagnosis of Kawasaki disease include fever for >5 days,
4/5 of the ‘CREAM’ features: Conjunctivitis, Rash, Edema/Erythema of hands and feet, Adenopathy (cervical, commonly unilateral), Mucosal involvement (strawberry tongue, oral fissures etc).
aches and pains in his ankles and wrists with skin peeling off his fingertips
anteriro cervical chain large lymph nodes
Kawasaki disease is a medium-vessel vasculitis, but the exact mechanisms and triggers are poorly understood.
Kawasaki disease is rare, but potentially fatal from the complication of coronary artery aneurysms, so it is crucial to perform
an echocardiogram to screen for this.
tx
aspirin and intravenous immunoglobulin (IVIG). - within 10 days of symtpom onset
Aspirin is usually avoided in children due to the risk of Reye syndrome (liver and brain damage post viral infection). w
complciation of kawasaki
coronary artery anuerysm