Kawasaki disease - a rare disease, mainly in children of preschool age and is manifested by inflammation of blood vessels in different tissues and organs of the body.Accurate cause of this disease is unknown, but among reasons that allegedly cause the development of diseases, paying special attention to retroviruses.Despite the fact that the majority of children after Kawasaki disease recover completely, sometimes there are such serious consequences and developed jaundice due to heart disease heart failure.
Unfortunately today not known for certain what causes Kawasaki disease.However, most physicians believe in its contagious nature and the place given to defining the retrovirus due to the fact that the disease develops suddenly and affects only children with weakened immune systems.But, apparently, there are other factors contributing to the development of the disease.For example, in Japan, children's disease is much more common in children than in other countries.In addit
Kawasaki Disease - Risk
Kawasaki disease in most cases affects children of preschool age, although occasionally older children suffering from this disease.In 80% of cases, the disease occurs in children under five years.The primary risk group children one to two years of age.
Kawasaki disease in children of the first two years of life is much more difficult to diagnose than in older age, even though they have the disease often gives heart complications.
reason that boys, girls are less prone to this disease is not well understood.Kawasaki disease occurs in children of all nationalities and races, but ten times more disease seen in Japanese children
Kawasaki disease - symptoms and signs
Leading symptoms of Kawasaki disease following:
- Increasing the cervical lymph nodes (usually unilateral)
- congested chapped lips, swollen red and crimson tongue
- appear anywhere on the body polymorphic skin rash
- on the soles and palms around the third week of the disease, changes are observed in the form of seals with reddened scaly skin
- does not fall morefive days of fever
Less common symptoms of Kawasaki disease include abdominal pain and joint pain, vomiting, diarrhea, headache and malaise.
Kawasaki disease is very often the cause of heart failure, so at the slightest suspicion of the presence of this disease is an urgent need to pass echocardiography.Despite the fact that the majority of children with long-term complications of the disease are not observed, in some cases, yet observed effects on blood vessels and heart.The involvement of the heart can occur in the early days of the disease, and after the crisis.Inflammation in the heart muscle occurs when the acute form of the disease.Usually at this no severe consequences should not, but sometimes still developing congestive heart failure.Weak heart muscle disease can no longer operate as before with a full load, which results in the accumulation of fluid in tissues and thus increasing swelling.
Almost all the children after Kawasaki disease recover completely, but still about one in five baby developing serious complications from the heart and coronary vessels.Vascular machines lose their elasticity, vybuhayut some areas, leading to the formation of aneurysms (pockets).In exceptional cases, this results in the formation of blood clots, eating disorders of the heart muscle, and as a result - developing myocardial infarction
diagnosis of Kawasaki disease
Because Kawasaki disease is very rare, most doctors in their practice with it just never met, so the correct diagnosis is more difficult than in the similar symptoms of other common viral diseases.And when it comes to young children with softly pronounced symptoms, proper diagnosis is even more difficult, especially since the youngest often a so-called atypical form of the disease when the symptoms are manifested only a few.In such cases, usually misdiagnosed as respiratory infection.
defining characteristic of the disease is to keep the Kawasaki for twelve days at an average temperature of the severity of the disease, and more than twenty days in severe cases.About 20% of children observed the development of aneurysms of the coronary arteries, thus leading to the development of thrombosis and restenosis, breaking the power of the heart muscle
Kawasaki disease - treatment
Even despite the fact that modern medicine has no knowledge about the reliability of the causes ofKawasaki disease, there are some medications medications that help in its treatment.The primary aim of therapeutic measures is to protect the cardiovascular system.
greater efficiency showed intravenous immunoglobulin (administered daily, the rate of 5-7 days).This drug contains antibodies that enhance passive immunity and accelerate patient recovery.
unchanged drug Kawasaki disease is aspirin, which not only helps to reduce body temperature, but also thins the blood, preventing the formation of clots, and also has a very powerful anti-inflammatory effect.In the case of coronary artery disease taking aspirin for a long time in small doses.Despite the fact that children under twelve years of aspirin is not recommended, if it is used Kawasaki disease is justified
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