Kawasaki Disease (cont.)
Medical Author:
David Perlstein, MD, MBA, FAAP
David Perlstein, MD, MBA, FAAPDr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx. Medical Editor:
William C. Shiel Jr., MD, FACP, FACR
William C. Shiel Jr., MD, FACP, FACRDr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology. IN THIS ARTICLE
Kawasaki Disease Medical Treatment and Follow-upOnce Kawasaki disease is diagnosed, it is imperative to treat within 10 days of onset of the child's fever. This is due to the fact that the damage to the coronary arteries usually occurs after the 10th day of illness during the subacute phase of the disease. The current therapy includes admission to a hospital and administration of intravenous immunoglobulin (IVIG or gammaglobulin) and high-dose aspirin until the child's fever resolves, followed by low-dose aspirin for six to eight weeks until a normal ECHO has been obtained. If a child has any evidence of coronary artery abnormality, a pediatric cardiologist continues to clinically follow them. Next Page: Must Read Articles Related to Kawasaki Disease
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