Kawasaki disease (KD) is a medium-sized vessel arteritis of early childhood with a predilection for the coronary arteries, which can result in dilatation, aneurysms, thrombosis, and ...
KD is a clinical diagnosis.
Current diagnostic criteria: fever for ≥5 days and ≥4 of 5 clinical findings, which need not be present at the same time
Extremity changes (erythema of palms, soles...
Rapid diagnosis and treatment can decrease the risk of coronary artery aneurysms.
Close follow-up and monitoring for the development of aneurysms after discharge
Comb...
Low-dose aspirin should be continued until follow-up ECHO at 2 weeks and 6 to 8 weeks after discharge are normal.
Some centers perform ECHO at 6 to 12 months after...
Burns JC, Glodé MP. Kawasaki syndrome. Lancet. 2004;364(9433):533–544. [View Abstract on OvidInsights]
Freeman AF, Shulman ST. Refractory Kawasaki disease. Pediatr Infect Dis J...
Q: Who first described KD?
A: Tomisaku Kawasaki, MD is a pediatrician and graduate of the Chiba University School of Medicine. He noted his first case of the disease while working in the Department...
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Kawasaki disease. The heart of a child who died from Kawasaki disease shows conspicuous coronary artery aneurysms.
FIG. 2.19. Clinical findings in Kawasaki disease. A: Cracked, erythematous lips, and "strawberry" tongue in Kawasaki disease. B: Brawny edema of the dorsum of the hand and small joint polyarthritis in Kawasaki disease. C: Peeling of the skin on the thumbs in Kawasaki disease.
FIG. 2.19. Clinical findings in Kawasaki disease. A: Cracked, erythematous lips, and "strawberry" tongue in Kawasaki disease. B: Brawny ed...
FIGURE 101.14. Lead III from an electrocardiogram on a 15-month-old boy showing deep Q waves in Kawasaki disease.
<bold>FIGURE 26-29</bold> Kawasaki disease. (<bold>A</bold>) Rash of Kawasaki disease in a 7-month-old child on the 4th day of illness; (<bold>B</bold>) conjunctival injection, lip edema in a 2-year-old boy on the 6th day of illness; (<bold>C</bold>) erythema and edematous hand of a 1½-year-old girl on the 6th day of illness; and (<bold>D</bold>) periungual desquamation in a 3-year-old child on the 12th day of illness.
<bold>FIGURE 26-29</bold> Kawasaki disease. (<bold>A</bold>) Rash of Kawasaki disease in a 7-month-old child on th...
<bold>Figure 38-1</bold> Kawasaki disease. Swelling, erythema, and tenderness develop in the hands of this 4-year-old a few days after onset of high fever. (Courtesy of Mark A. Ward, MD.)
<bold>Figure 38-1</bold> Kawasaki disease. Swelling, erythema, and tenderness develop in the hands of this 4-year-old a few ...
<bold>Figure 47-6</bold> Foot edema and erythema in a child with Kawasaki disease. (Courtesy of Esther K. Chung, MD.)
<bold>Figure 65-4</bold> Kawasaki disease. Erythematous maculopapular rash that started in groin and spread onto trunk. (Courtesy of George A. Datto, III, MD.)
<bold>Figure 65-4</bold> Kawasaki disease. Erythematous maculopapular rash that started in groin and spread onto trunk. (Court...
<bold>FIGURE 10-33. Kawasaki disease.</bold><bold>A.</bold> The heart of a child who died from Kawasaki disease shows conspicuous coronary artery aneurysms. <bold>B.</bold> A microscopic section of a coronary artery from the same patient shows two large defects <italic>(arrows)</bold> in the internal elastic lamina, with two small aneurysms filled with thrombus.
<bold>FIGURE 10-33. Kawasaki disease.</bold><bold>A.</bold> The heart of a child who died from Kawasaki disease sh...