Kawasaki disease, an acute febrile, rash pediatric disease with systemic vasculitis as the main pathological change, has become one of the most common acquired heart diseases in children.
I. Definition of Kawasaki disease
Kawasaki disease, also known as cutaneous mucosal lymph node syndrome, was first reported by Dr. Tomisaku Kawasaki in Japan in 1967 and named after him, is an acute febrile, rash pediatric disease with systemic vasculitis as the main pathological change. It is clinically classified in the class of connective tissue diseases.
Since the clinical manifestation of Kawasaki disease in the early stage is mainly fever, it is often thought of as inflammation of the throat or cold in children, which can easily lead to misdiagnosis and underdiagnosis, so it is especially important to make a good diagnosis and differentiation of the disease.
Second, why should we popularize this disease
Kawasaki disease is still a rare disease, even though the incidence has increased significantly compared to the previous one. Let everyone know because.
1, Kawasaki disease is aggressive to the cardiovascular system, mainly to the coronary arteries (blood supply vessels of the heart), and the heart damage caused by Kawasaki disease has now risen to the first place in pediatric acquired heart disease.
2. 5 days of fever is a critical time point for the diagnosis of Kawasaki disease. As clinicians become more aware of Kawasaki disease, such as persistent fever clinicians should consider the possibility of Kawasaki disease. If you have some knowledge of Kawasaki disease, parents will not be too confused when the doctor explains the condition.
The prognosis for most cases of Kawasaki disease is good after standard treatment.
Kawasaki disease what performance
1. Fever lasting for more than 5 days and ineffective with antibiotics (Kawasaki disease is usually accompanied by an increase in white blood cells and CRP, and antibiotics are given when Kawasaki disease is not diagnosed early in the course of the disease)
2, conjunctival congestion is obvious, generally look like crying, serious like a small rabbit
3, mouth and lips congestion, chapped, prune tongue: red lips are particularly obvious. Tongue red, tongue papillae raised like prunes
4.Rash: The rash varies in shape and is not particularly characteristic. There are many diseases with fever and rash, but Kawasaki disease is highly suspected if fever is accompanied by rash for more than 5 days.
5. Swollen cervical lymph nodes: Sometimes the swollen lymph nodes in the neck are so obvious that they are even misdiagnosed as lymphadenitis.
6. Redness of the palms of the hands and feet and the ends of the fingers and toes, hard edema, and peeling of the hands and feet from the ends of the fingers and toes during the recovery period
Fourth, the diagnosis of Kawasaki disease, the initial fever will be misdiagnosed?
The diagnosis of Kawasaki disease is mainly based on the symptoms of the child. If the above symptoms occupy 5 items, the diagnosis is typical of Kawasaki disease. However, the number of incomplete or atypical cases has increased in recent years and is about 10% to 20%. Kawasaki disease can also be diagnosed when 2-3 of the above symptoms are present, but with typical coronary artery lesions. Once Kawasaki disease is suspected, echocardiography should be done as soon as possible.
During the first 2-3 days of the disease, the child may only have a fever with few other symptoms, often diagnosed as a cold. However, it is not necessary for parents to worry about Kawasaki disease every time they have a fever.
1. For one thing, the incidence of the disease is low.
2, then again if Kawasaki disease will not only have fever, there must be other symptoms as mentioned above, even doctors need to see these symptoms before they can consider a diagnosis, what parents have to do is to pay attention to the presence or absence of rash every day for children with fever, such as fever accompanied by a rash to seek medical attention.
3. Also, the current consensus for the treatment of Kawasaki disease is that propecia therapy should be administered on days 5-10 of the disease course, which is most effective in preventing coronary artery dilation. Parents’ concern that undiagnosed treatment of fever for two or three days will not be delayed is unnecessary.
V. Kawasaki disease has specific treatment
High-dose intravenous infusion of gammaglobulin plus aspirin is the standard treatment for Kawasaki disease. The treatment is effective and relieves symptoms such as fever and rash relatively quickly. More importantly, it can reduce the incidence of coronary artery aneurysms in Kawasaki disease, which is a key point affecting the prognosis of Kawasaki disease.
1, Kawasaki disease propecia ball treatment requires hospitalization. Propecia is very expensive, so it costs a lot of money.
2. In addition to the above treatment, pansentine and other symptomatic drugs are needed according to the condition.
VI. Treatment of Kawasaki disease
When parents hear of Kawasaki disease they are generally immediately baffled and feel that they have a strange disease and immediately ask if it can be cured. Kawasaki disease sounds scary, and the treatment is also very heavy, but the majority of children have a good prognosis and can gradually recover with appropriate treatment.
After being discharged from the hospital with a stable condition, they need to be followed up by a cardiovascular specialist who will test relevant laboratory indicators and regularly review echocardiography to monitor the coronary arteries and heart condition. The medication should be gradually discontinued according to the condition. There are cases of recurrence of Kawasaki disease, but the rate is very low, about 1-3%.