Fifteen-minute consultation: Kawasaki disease: how to distinguish from other febrile illnesses: tricks and tips.
Kawasaki disease
coronary artery aneurysms
fever
general paediatrics
vasculitis
Journal
Archives of disease in childhood. Education and practice edition
ISSN: 1743-0593
Titre abrégé: Arch Dis Child Educ Pract Ed
Pays: England
ID NLM: 101220684
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
13
03
2019
revised:
08
07
2019
accepted:
16
08
2019
pubmed:
5
1
2020
medline:
6
7
2021
entrez:
5
1
2020
Statut:
ppublish
Résumé
Kawasaki disease (KD) is challenging to diagnose because there is no specific laboratory test and the presentation is often similar to common childhood infections. We highlight some of those KD diagnostic challenges. KD, a self-limiting vasculitis, can cause coronary artery aneurysms. The aim is to optimise management during the acute febrile illness to try and prevent these because a giant coronary artery aneurysm is devastating enough without thinking that it might have been prevented. The conundrum for acute paediatricians is which clinical features best distinguish the febrile child with possible KD, needing intravenous immunoglobulin, from the many other children with febrile illnesses.
Identifiants
pubmed: 31900257
pii: archdischild-2019-316834
doi: 10.1136/archdischild-2019-316834
doi:
Substances chimiques
Immunoglobulins, Intravenous
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
152-156Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.