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Kawasaki disease

Morbus Kawasaki · Kawasakiho nemoc

What it is

A childhood vasculitis that can wreck the coronary arteries.

Symptoms & signs

  • Fever over 5 days
  • red eyes
  • cracked lips and strawberry tongue
  • rash
  • swollen hands and feet
  • peeling skin

🚩 Get help if…

  • call 112 / 911 now Child with chest pain, pale or cold skin, or collapse
  • see a doctor soon Fever over 5 days with red eyes or rash in a child
  • see a doctor soon Red cracked lips, strawberry tongue or swollen hands and feet
  • see a doctor soon Peeling fingertips after a fever

Where it strikes

Medical treatment

  • IV immunoglobulin within 10 days (cuts coronary aneurysms from about 25% to under 5%)
  • high-dose aspirin
  • infliximab if resistant
  • echo surveillance

Natural & lifestyle

  • Prompt recognition is everything
  • follow-up imaging

Emerging & experimental

  • Anakinra trials
  • genetic susceptibility panels

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Ciclosporin added to immunoglobulin in high-risk children — a Japanese trial (KAICA) found fewer coronary aneurysms mixed evidence
  • Probiotics and diet for recovery — untested anecdotal / traditional

ICD codes