Kawasaki Flashcards
What is Kawasaki disease
It is a medium vessel vasculitis
Disease of early childhood
The other name for vasculitis is
Mucocutaneous lymph node syndrome
What type of arteries are usually affected with Kawasaki
Medium size artery ,mainly coronary
Could be axillary or femoral
What is the main cause for acquired heart disease
It is Kawasaki
The main cardiac manifestation for Kawasaki is
Coronary artery disease - specially aneurysm
What type of treatment decreases the risk for aneurysm
Ivig
Clinical manifestation for Kawasaki
Spiking fever
Doesn’t respond to antipyretic
Long duration of fever
The duration of ever on Kawasaki disease is
5 days could persist for 1-2 weeks
5 criteria for Kawasaki
Nonsuppurative cervical lymphadenopathy
Rash (polymorphic form )
Edema and erythema On hands and feet
Erythema o oral and pharyngeal mucosa
Bilateral nonexudative conjunctivitis with limbal sparing
The most important cardic manifestation in Kawasaki are
Myocarditis
Left ventricular systolic dysfunction
Coronary artery aneurysm
Th main cause for morbidity in Kawasaki is
Larg coronary artery aneurysm
Clinical phases for Kawasaki
Acute febrile phase -1to 2 weeks
Subacute febrile phase -3 weeks
Convalescent phase -6 to 8 weeks
What happened during the acute febrile phase of Kawasaki
Fever for 1-2 weeks
What happened during the sub acute phase of Kawasaki
Development of coronary artery aneurysm
Thrombocytosis
Risk of death
Last for 3 weeks
What happened during the convalescent phase of Kawasaki
All clinical sign of Kawasaki disappear
The esr return normal
Take 6 to 8 weeks
