Kawasaki Disease
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Vasculitides
- Giant Cell (Temporal) Arteritis
- Henoch-Schonlein Purpura
- Takayasu Arteritis
- Buerger Disease (Thromboangiitis Obliterans)
- Behcet Disease
- Granulomatosis with Polyangiitis
- Mixed Cryoglobulinemia
- Microscopic Polyangiitis
- Kawasaki Disease
Summary
Lorem
Key Facts
- Kawasaki Disease
- Medium vessel vasculitis
- Clinical Findings
- Asian children < 4-years-old
- CRASH + Burn
- Conjunctival injection
- It’s bilateral which tells you it’s systemic
- Rash
- polymorphormous → desquamating
- Adenopathy (cervical)
- Strawberry tongue
- Hand-foot changes
- Edema / erythema
- Fever
- Often lasts > 5 days and is not affected by medications
- Indicates a systemic problem
- Often lasts > 5 days and is not affected by medications
- Conjunctival injection
- Coronary artery involvement
- Coronary artery inflammation → coronary artery aneurysm
- Thrombosis and rupture can cause death
- This is the vasculitis most commonly associated with MI
- Coronary artery inflammation → coronary artery aneurysm
- Treatment
- IVIG
- Aspirin
- This is high-yield because you almost never give aspirin to a kid because of Reye syndrome
- Kawaski disease is so bad though because of coronary involvement / MI that giving aspirin is worth the risk
- This is high-yield because you almost never give aspirin to a kid because of Reye syndrome