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Learning Outcomes
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Preguntas
1.
2.
3.
4.
Kawasaki disease
This child has had a fever of greater than 39C for five days, and
meets three of the additional diagnostic criteria for Kawasaki
disease, as he has bilateral conjunctival redness without
discharge, characteristic changes to the lips and oral cavity, and
cervical lymphadenopathy.
Fever (>39C) for at least four days and at least four of the
following features, after exclusion of other similar diseases.
Polymorphous exanthema
1.
2.
Clotting abnormalities
3.
4.
Thrombocytosis
c : Raised inflammatory markers, leucocytosis and
neutrophilia
1.
0%
2.
5%
3.
10%
4.
20%
b : 5%
1.
2.
3.
4.
C
Youranswer a
a.
ItisnotpossibletodevelopKawasakidiseaseasecondtime
b.
Itisrare(withalessthan1%risk)todevelopKawasakidiseaseasecondtime
c.
ItislikelythatshewillhaveanotherepisodeofKawasakidiseaseinfuture
d.
Sophieisnotatriskofdevelopingnewcardiacproblemsyearsinfuturerelatedtothisepisode
ofKawasakidisease
References
1. NewburgerJW,TakahashiM,GerberMA,GewitzMH,TaniLY,BurnsJC,etalDiagnosis,
treatment,andlongtermmanagementofKawasakidisease:astatementforhealthprofessionals
fromtheCommitteeonRheumaticFever,Endocarditis,andKawasakiDisease,Councilon
CardiovascularDiseaseintheYoung,AmericanHeartAssociation.Pediatrics2004:114:1708
33.
2. YeomJS,WooHO,ParkJS,ParkES,SeoJH,YounHS.Kawasakidiseaseininfants.KoreanJ
Pediatr2013;56:37782.
3. BenselerSM,McCrindleBW,SilvermanED,TyrrellPN,WongJ,YeungRS.Infectionsand
Kawasakidisease:implicationsforcoronaryarteryoutcome.Pediatrics2005;116:e7606.
4. TsudaE,HamaokaK,SuzukiH,SakazakiH,MurakamiY,NakagawaM,etal.Asurveyofthe
3decadeoutcomeforpatientswithgiantaneurysmscausedbyKawasakidisease.AmHeart
J2014;167:24958.
5. WoodLE,TullohRM.Kawasakidiseaseinchildren.Heart2009;95:78792.
certificado
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