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Kawasaki disease

  • Labs

    • CBC
    • baseline + f/u echo
  • Tx

    • IVIG
    • aspirin 100 mg/kg/day in acute phase, then 5 mg/kg/day
    • monitor for cardiac complications
      • baseline echo
      • f/u echos
  • Clinical dx

    • fever > 39 C x 5 days
  • Four out of

    • extremity lesions (edema, erythema, skin lesions)
    • conjunctivitis
    • rash on trunk
    • cervical lymphadenopathy > 1.5cm
    • oral lesions (erythema, fissure, strawberry tongue)
  • Other sx

    • urethritis, orchitis, arthritis, hepatitis

  • Print | Citations

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