2009, Number 587
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Rev Med Cos Cen 2009; 66 (587)
Importancia del diagnostico temprano de la enfermedad de kawasaki
Espinoza TM, Edwards CM
Language: Spanish
References: 19
Page: 33-38
PDF size: 264.28 Kb.
ABSTRACT
Kawasaki Syndrome is an acute multi-organ vasculitis, whose etiology remains incompletely understood; this illness primarily affects infants and young children. It was originally described by Dr. Tomisaku Kawasaki in Japan, since 39 years ago. Since then, KS has been recognized worldwide in children of every racial group, this disease is characterized by fever, bilateral nonexudative conjunctivitis, polymorphous rash, erythema of the lips and oral mucosa, extremity swelling and/or erythema of the palms and soles and cervical lymphadenophaty. Because of that the diagnosis is based on history and physical examination. The symptoms of Kawasaki syndrome are not unique and diagnosis can be difficult. Coronary artery abnormalities are developed in 15 to 25% of untreated children with this disease. The coronary arteries may show evidence of panarteritis, dilatation or aneurysm formation and may lead to ischemic heart disease or suddenly death. Indeed, Kawasaki Disease is now considered one of the two major causes of acquired heart disease in children, overcoming rheumatic fever in many parts of the world.
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