USMLE

Kawasaki Disease

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Vasculitides
  1. Giant Cell (Temporal) Arteritis
  2. Henoch-Schonlein Purpura
  3. Takayasu Arteritis
  4. Buerger Disease (Thromboangiitis Obliterans)
  5. Behcet Disease
  6. Granulomatosis with Polyangiitis
  7. Mixed Cryoglobulinemia
  8. Microscopic Polyangiitis
  9. 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
      • Coronary artery involvement
        • Coronary artery inflammation → coronary artery aneurysm
          • Thrombosis and rupture can cause death
          • This is the vasculitis most commonly associated with MI
    • 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