Kawasaki disease Flashcards
1
Q
defintion
A
medium vessel vasculitis affecting the coronary arteries
2
Q
what is kawasaki disease the most common cause of
A
heart disease in children
3
Q
who is kawasaki disease more common in
A
boys under 5 years ld
4
Q
presentation
A
Conjunctivitis Rash Adenopathy (enlarged cervical lymph node) Strawberry tongue Hand and feet swelling Fever
5
Q
investigations
A
- elevated and shifted to the left WCC
- raised ESR, CRP and PV
- raised LFTS
6
Q
if untreated can cause
A
ischaemia of heart muscle, coronary aneurysm, myocardial infarction
7
Q
management
A
aspirin and IV immunoglobulin and the influenza vaccine
8
Q
why is the management of kawasaki disease so interesting
A
because its one of the only times you can ever use aspirin in children because of the risk of REYES SYNDROME
9
Q
why is influenza vaccine used in management
A
because reyes syndrome classically occurs after viral infection
10
Q
what does reyes syndrome cause
A
encephalopathy
