最新川崎病(kawasaki diseaseppt课件

Convalescent Phase
Echocardiogram documented coronary artery dilation or aneurysm.
Convalescent Phase
Angiographically documented coronary artery dilation or aneurysm.
tongue or cracked lips A blotchy pink rash Enlarged lymph node in the neck Swelling and redness of the hands and feet
Convalescent Phase
Coronary artery dilation or aneurysm.
tongue or cracked lips A blotchy pink rash Enlarged lymph node in the neck Swelling and redness of the hands and feet
Subacute Phase
Gradual subsiding of fever Marked thromb Changes in the mouth: a red throat, spotty
PRINCIPAL SYMPTOMS
Fever: persisting 5 days or more (inclusive of those
cases in whom the fever has subsided before the 5th day in response to therapy)
川崎病（Kawasaki disease ）
Kawasaki disease is a rare condition. It is most common in children under five years old and most cases occur in children aged between nine months and two years. Cases occur in all ethnic origins, it is more common in children of Asian origin and more common in boys than girls.
➢ Ig: In acute phase low levels of IgG are reported. In subacute phase elevated levels of IgG, IgM, IgE, IgA have been reported. ➢ Echocardiography may provide the presence and type of coronary artery disease in patients with Kawasaki disease.
➢ Elevated leukocyte count with a predominance of neutrophils or a normal leukocyte count with a left shift is typical on the acute phase of illness. ➢ Elevated ESR is almost universally present in acute phase. Thrombocytosis in the later stages is common.
PRINCIPAL SYMPTOMS
Polymorphous exanthema
PRINCIPAL SYMPTOMS
Changes of peripheral extremities: Initial stage: Reddening of palms and soles,
Indurative edema Convห้องสมุดไป่ตู้lescent stage: Membranous
Acute phase Subacute phase Convalescent phase
Acute Phase
The first set of symptoms commonly last up to 10 or 11 days. They include:
Sudden onset of fever (high temperature ) Conjunctivitis Changes in the mouth: a red throat, spotty
PRINCIPAL SYMPTOMS
Bilateral conjunctival congestion Characters: Bilateral painless bulbar conjunctival injection without exudate
PRINCIPAL SYMPTOMS
Changes of lips and oral cavity: Reddening of lips, Strawberry tongue, Diffuse injection of oral and pharyngeal mucosa.
desquamation from fingertips
PRINCIPAL SYMPTOMS
Acute nonpurulent cervical lymphadenopathy ≥ 1.5 cm in diameter
OTHER SIGNIFICANT SYMPTOMS OR FINDINGS
Cardiovascular : Auscultation (heart murmur, gallop rhythm, distant heart sounds) ECG changes (prolonged PR/QT intervals, abnormal Q wave, low-voltage QRS complexes, ST-T changes, arrhythmias), Chest X-ray findings (cardiomegaly) 2-D echo findings (pericardial effusion, coronary aneurysms) Aneurysm of peripheral arteries other than coronary (axillary etc.)