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| SPECIALIST ANSWERS |
Question Category:Kawasaki's disease |
Sir,now it has been recomended that in kawasaki disease the antinflammatory dose of aspirin been reduced to 50mg/kg/day in 4 divided doses;almost half of the dose that we have been using so far.Has anyone tried this and is the effect and outcome similar thank you
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Question Category:Kawasaki's disease |
In managing a patient with kawasaki disease ,when is the best time to satrt the aspirin -is it after the IVIG dose or simultaneously .and when is the best time to reduce the dose of the aspirin and when to stop. 2) how to manage oculogyric crisis in pediatric age group.is benzhexol the drug of choice or benedryl will do
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Question Category:Kawasaki's disease |
We often get children having fever for 2 to 7 days who also satisfy 2 or 3 criteria for kawasaki disease like conjunctival injection, oral mucosal changes, transient rash, desquamation of palms/ soles etc. But they are not very ill looking and also do not show typical lab findings like high ESR & platelet count. Echo in such children often shows minimal or mild dilatation of coronary arteries. Should they be given a diagnosis of atypical kawasaki disease and treated with IV-IG? As the size of coronary A on echo is rather a subjective finding depending on the operator, would not this result in overtreatment of manychildren having just viral exanthemic fevers? Kindly enlighten.
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