Kawasaki in Detail - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

Want an expert opinion? Put your query to our medical experts and get advice

Diet & Diseases

Head circuferences Calculator

Mid parental height Calculator

Body surface area Calculator

BMR Calculator

Temperature Calculator

Anion gap Calculator

	Specialist Answers
Question
My 9 year old daughter has been diagnosed and treated for Kawasaki syndrome a few weeks ago, but she continues to struggle with recurrent fevers, abdominal discomfort, and abnormal blood tests. Recent blood work showed: ESR=122, SGOT(AST)=44, GGT=63, SGPT(ALT)=120, Billurubin=0.4, and Lipase=304. Although she had many classic signs of Kawasaki (fever, rash, peeling skin, swollen glands, jaundice), they question this diagnosis on the severe liver dysfunction, return of fever, severe abdominal pain, and nature of her blood work. She continues to have a high fever, and abnormal blood work that indicates inflammation. They now believe she has some other systemic cause of inflammation (irritable bowel syndrome, crohn's, JRA), but they're casting about. She has an Upper GI w / follow-through but I sense her team doubts anything will be found. She is NOT having digestive difficulty. She also had an unexplained 8-day fever about 8 months ago that could be related, but we're just not sure. Your thoughts on the approach to diagnosis or the causes would be appreciated. Thanks.
Answer
Kawasaki's is a clinical diagnosis with a conglomeration of various signs and symptoms. High ESR, raised CRP are signs of acute inflammation and may be seen in Kawasaki's as well as other infections and autoimmune disorders. Thrombocytosis may be a predominant feature of Kawasaki's. One may need to do 2 D echo of the heart to see if there is any evidence of coronary involvement. If yes, it would suggest Kawasaki's and the child would require IVIg and aspirin immediately. Sometimes in Kawasaki's the symptoms may recur and the disease process may become chronic requiring other drugs to control it. Hydrops of the gall bladder and hepatitis are also seen with Kawaski's disease. However, if in doubt one may rule out other autoimmune disorders. Back to All Questions

"Get the Vaccine Schedule for your child."

Share Experience

Message Board

Translate this page

Pediatric oncall book store

Partner Sites

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids