Sunday, April 29, 2012

Kawasaki Disease

Vasculitis following infection
Child less than 5yrs
Hyperaemic buccal mucosa, strawberry tongue, Fissured lips
Diagnosis is clinical
Criteria: High fever (>39°C) for 5 days + 4 of ffing: unilateral large lymph nodes,
                                                                                     rash,
                                                                                    mouth changes,
                                                                                    limb desquamation/edema
                                                                                    conjuctivitis


Tmt: IVIG and Aspirin. (unlike other rashes in children where aspirin is contraindicated cos of risk of Reye's syndrome )

May be complicated by Coronary artery aneurysm with resultant risk of MI.

Young child with fever, red eyes, red tongue, red palms and rash

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