IV Gamma Globulin. Kawasaki disease is a disease of unknown cause that can lead to aneurysms in the coronary arteries of the heart. The current standard of care is to treat with IV gamma globulin (ivig) and place the child on Aspirin therapy. A cardiology consult is recommended. I know of no cases of "mild kawasaki disease." either it is present or not.
What are long term effects on an adult who may have had kawasaki disease as a child and was never treated. At 21 I had a mi at 25 chronic htn at 48 I had a stroke. My dr keep asking me about a rash when I was a child. One dr said I probably had undiagnose
Kawasaki. Kawasaki disease is a very rare and poorly understood disease that affects the blood vessel walls, the mucous membranes, and the lymph nodes in children under the age of 5. There is no specific test that leads to the diagnosis, rather there are a list of criteria that a patient must have to qualify for kawasaki disease. Treatment usually includes intravenous immunoglobulin (ivig), high dose Aspirin and sometimes steroids. Many patients will also be followed with heart ultrasounds every 1-2 years since 25% of kids will develop coronary aneurysms (bubbles in the walls of the heart's blood vessels). These aneurysms can cause a myocardial infarction (heart attack). That being said 99% of kids of with kawasaki disease completely recover with early detection and treatment. Legal disclaimer: I am providing this general and basic information as a public service and my response to this question does not constitute a doctor-patient relationship. For any additional information, advice, or specific concerns, please speak with your own physician. The information provided is current as of the date of the answer entry.
Increases risk of MI. Some children who had kawasaki disease as a child will develop aneurysms (weakened blood vessels) in the blood vessels that supply the heart. These aneurysms put the children at risk of heart attacks at very young ages. There may be other reasons to have heart attacks at young age though, although this is one of the most common.
Seek medical care. Kawasaki disease is a serious illness. A child with kd requires specific medical therapy (ivig and aspirin), after which there is prompt clinical improvement. If there is coronary artery involvement then lifelong cardiology care will be required.
Fever. The most important symptom is presence of fever for more than 5 days. And usually in a child under the age of 8 years. In addition to 4 of th 5 criteria: 1. Bilateral conjuctival injection (redness) without discharge. 2. Erythematous mouth and pharynx, strawberry tongue, red or cracked lips. 3. Rash. 4. Swelling of hands and feet and redness of palms and soles. 5. Cervical lymphadenopathy >1.5cm.
Unwell. A child with Kawasaki disease is irritable, miserable, "measley" looking although most people don't know measles. The conjunctivitis is bright angry red, the lips are bright, beefy red in color, and there may be rash. High fever for at least five consecutive days is required.
No. Kawasaki disease is a type of autoimmune vasculitis (inflammation of blood vessels) affecting children almost exclusively that can have long term effects on the heart (coronary artery aneurysms) if not treated appropriately and promptly but heartburn, or gastroesophogeal reflux (GERD), is not one of them.
One time. Kawasaki disease is a one time only disease. Many other illnesses can somewhat resemble kawasaki disease. Best to have your child evaluated.
Something else. Very unlikely for someone to have kd twice but not impossible. Most likely it is something else though. Definitely see your pediatrician.
Complex. Children with Kawasaki disease are treated with IVIG (immunoglobin)and initially, high dose aspirin. Having G6PD deficiency complicates things a bit because high dose aspirin therapy can cause a severe hemolytic anemia. Still, high dose aspirin therapy would more than likely be initiated, but intensely close monitoring for the development of hemolysis would be employed. Stopping the Rx stops hemolys.
Yes. New onset kawasaki disease usually responds to one or more IV infusions of gamma globulin followed by high dose Aspirin during the acute phase followed by low dose Aspirin in the later phase. A workup including examination of the heart is done to monitor occasional aneurysms in the heart blood vessels. Later management depends on response to the early rx.