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Kawasaki Disease


The Basics


Written by the doctors and editors at UpToDate � �
What is Kawasaki disease? " � Kawasaki disease causes inflammation in certain blood vessels in the body. The main symptoms are fever, and swelling and redness in the areas with inflammation. It is most common in children younger than 5 years old. � �
What causes Kawasaki disease? " � The cause is not known. But doctors dont think it spreads from person to person. � �
What are the symptoms of Kawasaki disease? " � The symptoms include: � �
  • Fever
  • Redness in the white part of the eye
  • Cracked, red lips
  • A red, swollen tongue
  • A rash - The rash often starts in the genital area. It can also be on the back, chest, belly, arms, and legs.
  • Swollen glands in the neck
  • Swollen, red skin on the palms of the hands and soles of the feet

Is there a test for Kawasaki disease? " � Your doctor or nurse should be able to tell if your child has Kawasaki disease by learning about his or her symptoms and doing an exam. But some children with Kawasaki disease need tests. These can include: � �
  • A blood test
  • A urine test
  • An ultrasound of the heart ( "echocardiogram " �) " � This test creates pictures of the heart as it beats.

How is Kawasaki disease treated? " � Treatments for Kawasaki disease include: � �
  • Immune globulin (also called IVIG) - This treatment goes into a vein through a tube called an "IV. " � This is done in a hospital over a period of 8 to 12 hours.
  • Aspirin

If your child gets IVIG, he or she might not be able to get certain vaccines (such as for measles or chicken pox) for at least a year. That's because the vaccines might not work as well during this time to prevent disease. � �
Children with Kawasaki disease who don't get treatment are at risk for heart problems. That's because they can have swelling of the blood vessels in the heart. But only a few children have lasting heart damage from Kawasaki disease. � �
All topics are updated as new evidence becomes available and our peer review process is complete. � �
This topic retrieved from UpToDate on: Nov 04, 2014. � �
Topic 17130 Version 2.0 � �
Release: 22.8 - C22.206 � �
� � 2014 UpToDate, Inc. All rights reserved. � �

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This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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