Kawasaki Disease

 

General

  • rare

  • M > F

  • most common cause of myocardial infarction in kids

  • inflammation disease of the blood vessels, mucous membrane and heart

  • believed to be from exposure to an infectious agent

  • coronary aneurysm

 

Diagnosis

  • sausage swollen fingers 

  • conjunctivitis

  • rash (trunks, extremities)

  • extremity involvement

  • adenopathy

  • mucosal erythema (starwberry tongue)

  • fevers > 5 days

 

Tests / Labs

  • History and Physical

  • ESR

  • EKG

  • ECHO

 

Treatment

  • aspirin (Reye's syndrome)

  • influenza vaccine

  • IVIg (IV gamma globulin)

 

 

... but I would more especially commend the clinician who, in acute diseases, by which the bulk of mankind are cutoff, conducts the treatment better than others.
 
Hippocrates, 400 BC