Can someone help me by giving some "key points" about clinica of kawasaki disease!!! i Always miss this disease no matter many times i read,i couldn't find out key points........i diagnose it as a Viral disease........please someone!!!
Thanx
KAWASAKI`S DISEASE(mucocutaneous L.N.syn.):commom in <4yrs,Japan,s/s:fever,conjunctivitis,erosion of oral mucosa,maculopapular rash,lymphadenopathy,affects arteries(segmental necrotising vasculitis),common in coronary art.,aneurysm formation.
Main point is----MI in children.
Hope it helps.GL.
that a great answer Savi , inaddition , it is the only disease in children whereby Aspirin 80-100mg qid is given that wouldn't cause Reye syndrome , intravenous immunoglobulin is also given as a drug of choice
ebony,
Are you sure that aspirin will not cause Rye syndrome in Kawasaki or just because the risk is worth taking? Do you have any reference for this point?
Thanx Savy and ebony.But i was confused B'coz fever conjuctivitis,erosion of aral mucosa( due to dehydration and high fever can be seen in any child),L/adenopathy can be seen in any disease.....lets say Measles also.........or SSSS also,scarlet also and toxic shock syndrome also..........am i right?Can u clear something furthur for me please.
Ebony: as far as i know Reye with aspirin is not just due to aspirin use in cdildren, it is if in Viral infection u use aspirin causes Reye's, and Kawasaki's is not a Viral illness.
HI VSG,
LOOK OUT FOR THESE BUZZWORDS: RED PALMS(i USUALLY LOOK 4 THIS)+ 1 LN >1.5CM(U/L)+FEVER(>5 DAYS)+CRACKED LIPS&STRAWBERRY TONGUE(ANOTHER INDICATOR)+EDEMA OF HANDS AND FEETS(ANOTHER UNIQUE FEATURE)
Nonspecific=b/l non purulent conjunctivitis+injected pharynx+PERIUNGAL DESQUAMATION+truncal polymorphous rash
Labs:thrombocytosis+anemia
Always do ECHO
verysmartgirl,
actually,i`m preparing for step1 and q on kawasaki`s comes commonly as:child with MI,sometime they mention country i.e.Japan etc.I don`t know about step2.
But i can say that,presentation is diff.in diff.diseases you mentioned.e.g.in case of meseales,rash&koplik`s spots are diff.than erosion of oral mucosa&rash of kawasaki;fever and other toxic sym.in TSS is diff.(more severe) than just feverish in kawasaki;no lymphadenopathy in TSS or measles.Mainly,child with coronary art.symptoms--is imp.than other coexisting signs&symptoms.
Hope you got my point.
Thanx alot Savi........And Good Luck
mucocutaneous lesion+vasculities(coronary artey-making it the cause of MI in children)
dd-scarlet fever
To Dwnchao pls consult Harrison's principle of medicine 16th edition, 5 minute clinical consult and Ferri diseases 2005