Kawasaki Disease Overview
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Questions and Answers

Which of the following is a key symptom of Kawasaki disease during its acute phase?

  • Conjunctivitis with exudate
  • Myocarditis
  • Elevated platelet count
  • Rash (correct)
  • What is the most critical intervention for Kawasaki disease that must be administered within 10 days of fever onset?

  • Immunization
  • Aspirin therapy
  • Intravenous immunoglobulin (IVIG) (correct)
  • Steroid treatment
  • What complication is associated with Kawasaki disease that specifically affects the cardiovascular system?

  • Coronary artery aneurysm (correct)
  • Arteriosclerosis
  • Myocarditis
  • Thrombosis of peripheral vessels
  • During the convalescent phase of Kawasaki disease, which lab finding is typically observed?

    <p>Elevated platelet count</p> Signup and view all the answers

    What is a recommendation for the management of immunizations after a diagnosis of Kawasaki disease?

    <p>Delay immunizations for 5-11 months</p> Signup and view all the answers

    Study Notes

    Kawasaki Disease

    • Rare illness that causes vasculitis (inflammation of blood vessels)
    • Affects mostly children under 5, with boys and girls equally affected
    • May cause complications in children

    Symptoms

    • Acute Phase:
      • Fever lasting 5 days or more
      • Conjunctivitis (inflammation of the conjunctiva)
      • Strawberry tongue (red and swollen)
      • Painless peeling of palms and soles
      • Rash
      • Swollen lymph nodes
    • Subacute Phase:
      • Fever subsides
      • Irritability decreases
      • Rash fades or disappears
      • Conjunctivitis improves without discharge
      • Possible development of myocarditis (inflammation of the heart muscle)
    • Convalescent Phase:
      • Lingering Symptoms
      • Inflammation persists
      • Lab values return to normal
      • Elevated platelet count
      • Arthritis

    Diagnostics

    • Fever
    • Echocardiogram (Ultrasound) to assess heart function
    • Elevated platelet count in blood tests to indicate inflammation

    Treatment

    • Intravenous immunoglobulin (IVIG) given within 10 days of fever onset
    • Aspirin therapy
    • Delay immunizations for 5-11 months after disease onset or after completion of treatment
    • Monitor disease progression for 6-8 weeks after diagnosis

    Complications

    • Risk of coronary artery aneurysm and thrombosis
    • Desquamation (peeling) of palms and soles
    • Cracking lips

    Additional Notes

    • Low cholesterol diet is recommended

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    Description

    Explore the key aspects of Kawasaki Disease, a rare condition that primarily affects young children. This quiz covers symptoms, diagnostic methods, and potential complications associated with the illness. Test your knowledge about this serious pediatric disease.

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