Not long ago, in Zhengzhou, Henan, a child was sent to the hospital for treatment due to fever and was diagnosed with Kawasaki disease, but fortunately after treatment, the child's condition stabilized.
Seeing the three words "Kawasaki disease", you may think: This is another difficult lord to deal with.
That's right! It is difficult to diagnose and more likely to be misdiagnosed.
Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome (MCLS), is an acute febrile eruptive pediatric disease in which systemic vasculitis becomes the main pathology. It is generally more common in infants and young children under 5 years of age, especially in children aged 6 months to 2 years. Often it is a continuous high fever, taking anti-fever drugs, antibiotics do not work, many parents will mistakenly think that it is a cold.
Of course, Kawasaki disease is not untraceable.
For Kawasaki disease, a definitive diagnosis within 10 days of illness is "early diagnosis". Generally, it is based on the diagnostic criteria issued by the Kawasaki Disease Research Association of Japan, as follows:
Fever ≥ 5 days, with 4 of the following 5 clinical manifestations, can be diagnosed with Kawasaki disease after exclusion of other diseases:
1. Conjunctival hyperemia in both eyes, non-purulent
2. Oral mucosa hyperemia, lips flushing, chapped, bayberry tongue
3. Erythema metatarsal of the palm in acute stage, hard edema of hands and feet, membranous peeling of the end of the finger (toe) in the recovery period
4. Cervical lymphadenopathy
5. Erythematous rash of polymorphism
Note: If less than 4 of the 5 clinical manifestations but echocardiography or cardiovascular imaging confirm a coronary aneurysm (or arterial dilation), Kawasaki disease can also be diagnosed on the basis of exclusion of other diseases, which may also be called atypical Kawasaki disease.
If the baby has a high fever, red eyes, rashes and other symptoms, the use of antibiotics is not effective, do not take it lightly, when you suspect that it is Kawasaki disease, you must take the baby to the hospital as soon as possible to check the diagnosis.
And note that because Kawasaki's disease is difficult to diagnose, do not go to the general health center, it is best to take the baby directly to the top three hospitals!
If diagnosed with Kawasaki disease, parents do not have to be overly nervous, Kawasaki disease is a typical self-limiting disease, and most children who have undergone standardized treatment have a good prognosis. Among them, early and timely diagnosis and use of adequate amounts of human immunoglobulins are the key to treatment and play an important role in preventing coronary artery lesions caused by Kawasaki disease.
Patients with coronary artery dilation must be followed up for a long time, at least every six months to do echocardiography, until the coronary artery dilation disappears, and the coronary aneurysm disappears within 2 years. For patients without coronary artery dilation, a comprehensive examination should be performed once a year after discharge, including medical history, physical examination, electrocardiogram, and echocardiography.
Kangaroo Ma Ma has something to say:
Raising a baby is not easy, the baby will inevitably encounter a variety of viruses and bacteria on the way to growth, parents have more knowledge of parenting, but also for the baby's health more "to create" a layer of protection, may the baby grow up health~