In as many as 25% of children with Kawasaki disease, the heart becomes affected without proper treatment. Kawasaki disease is the leading cause of acquired heart disease in children. Build-up of fluid around the heart (pericardial effusion).Leakage of valves (often mitral valve regurgitation).Coronary artery aneurysms (or ballooning of the arteries).Kawasaki disease can affect the heart by causing the following complications: Even if these studies are normal, your child will receive treatment based on clinical symptoms and lab work. Your child will have an electrocardiogram (to assess the electrical system of the heart) and an echocardiogram (ultrasound of the heart). The cardiologist and / or nurse practitioner will perform a history and physical exam. If your child meets the criteria for the diagnosis of Kawasaki disease, the cardiology team is consulted. These laboratory tests are helpful however, the only way to make the diagnosis of Kawasaki disease is by meeting the clinical criteria for most of the signs and symptoms listed above. Sometimes a urine sample is also collected. To determine if a child has Kawasaki disease, the doctor may order blood tests to look for: Other diseases and common viruses may have these same symptoms. In some children, enlargement of the gall bladder can cause belly pain and vomiting.
TREATMENT FOR FLUID AROUND HEART SKIN
Swollen and red hands and feet occasionally followed by peeling of skin.Enlarged lymph nodes on one side of the neck.Red eyes, or conjunctivitis without drainage.A nonspecific red rash that often involves the groin area and may peel.Other signs and symptoms that help make the diagnosis include: A prolonged fever (i.e., more than five days and generally higher than 101.3 F) is often the first symptom that alerts a doctor to consider Kawasaki disease. The doctor makes the diagnosis based on your child’s signs and symptoms. There is no one specific test to diagnose Kawasaki disease. It is more commonly seen in the winter and spring months. The disease occurs more often among boys. But Kawasaki disease can affect older children as well. Kawasaki disease more commonly affects children younger than 5 years old, with the majority of children being less than 2 years old. Without medical evaluation and treatment, however, serious complications may develop and not be initially recognized. The symptoms of Kawasaki disease often go away on their own, and the child recovers.
It may occur in children who have a genetic predisposition to the disease. Because it causes a high fever and swelling of the lymph nodes, Kawasaki disease is thought to be related to an infection. The exact cause of Kawasaki disease is unknown. Kawasaki disease is an illness that makes the blood vessels in the body swell and become inflamed.
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