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Kawasaki Disease (40th Anniversary of the First Publication)


Authors: J. Gut
Authors‘ workplace: Dětské oddělení NsP, Česká Lípa primář MUDr. J. Gut
Published in: Čes-slov Pediat 2008; 63 (3): 156-163.
Category: Postgraduate Education

Overview

Acute vasculitis of medium arteries – Kawasaki disease – is not a rare illness even in our geographical conditions, although it clearly predominates in the Japanese population. In most cases there is a spontaneous decline in clinical picture symptoms, but without any therapeutic intervention the disease represents a 20 – 25% risk of affected coronary arteries with acute and chronic consequences. The administration of high doses of immunoglobulins is clearly a method of choice, which significantly decreases the risk. The diagnostic pitfalls represent incomplete forms, especially in infants. In this age there is a greater risk of coronary lesions.

Key words:
Kawasaki disease, incomplete forms, coronary aneurysms, intravenous immunoglobulins


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Neonatology Paediatrics General practitioner for children and adolescents
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