#ir #peds
Complications of Kawasaki Disease
The complications associated with Kawasaki disease-and the approximate percentages of
patients who develop these complications-are as follows:
Complication
Percentage of KD Patients Who
Experience
Central nervous system manifestations (including irritability,
lethargy, aseptic meningitis)
90%
Coronary artery aneurysm 20-25% of untreated patients
Liver dysfunction 40%
Arthritis 30%
Hydrops of the gallbladder 10%
Of these, the greatest risk is the development of coronary aneurysms. The main purpose of
treatment is to minimize this risk.
Timing
Aneurysms may be present by the end of the first week, but usually present later, almost always
within four weeks of the onset of the disease.
Monitoring
7/15
All patients should receive an echocardiogram during the acute phase, both to look for the
presence of aneurysms and to provide a baseline for future comparison.
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CLIPP 11 - Kawasakintation (i.e., a child
presenting with an obvious site of infection, even if meeting all criteria for Kawasaki, cannot be
given the diagnosis).
Though irritability is very common, it is not part of the diagnostic criteria.
<span>Complications of Kawasaki Disease
The complications associated with Kawasaki disease-and the approximate percentages of
patients who develop these complications-are as follows:
Complication
Percentage of KD Patients Who
Experience
Central nervous system manifestations (including irritability,
lethargy, aseptic meningitis)
90%
Coronary artery aneurysm 20-25% of untreated patients
Liver dysfunction 40%
Arthritis 30%
Hydrops of the gallbladder 10%
Of these, the greatest risk is the development of coronary aneurysms. The main purpose of
treatment is to minimize this risk.
Timing
Aneurysms may be present by the end of the first week, but usually present later, almost always
within four weeks of the onset of the disease.
Monitoring
7/15
All patients should receive an echocardiogram during the acute phase, both to look for the
presence of aneurysms and to provide a baseline for future comparison.
Clinical Skills
Dermatologic Nomenclature
The following are terms that are commonly used to describe rashes with accuracy:
Macule Flat, discolored spot
Papule S Summary
| status | not read | | reprioritisations | |
|---|
| last reprioritisation on | | | suggested re-reading day | |
|---|
| started reading on | | | finished reading on | |
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Details