Signs and symptoms
The signs and symptoms of Kawasaki disease appear in phases.
The first phase begins with a fever, which often is higher than 104 F (39 C), spikes and remits, and lasts one to two weeks. A doctor may suspect Kawasaki disease if the fever lasts for five or more days and the child has developed four or more of these signs and symptoms:
* Extremely red eyes (conjunctivitis) without thick discharge
* A rash on the main part of the body (trunk) and in the genital area
* Red, dry, cracked lips and an extremely red, swollen tongue
* Swollen, red skin on the palms of the hands and the soles of the feet
* Swollen lymph nodes in the neck
In the second phase of the disease, the child may develop:
* Peeling of the skin on the hands and feet, often in large sheets
* Joint pain
* Abdominal pain
Most children with Kawasaki disease recover with no problems, with or without treatment. However, the disease can cause serious heart problems and joint damage. Treating Kawasaki disease within 10 days of its onset may greatly reduce the chances of lasting damage. It's important to contact your child's doctor if your child has signs or symptoms of this disease.
Your doctor may conduct a physical examination and have your child undergo other tests to aid in the diagnosis. These tests may include:
* Urine tests. These tests help rule out other diseases.
* Blood tests. Besides helping to rule out other diseases, blood tests look at white blood cell count, which is likely to be elevated, and the presence of anemia and inflammation, indications of Kawasaki disease.
* Electrocardiogram. This test uses electrodes attached to your skin to measure the electrical impulses of your heartbeat. Kawasaki disease can cause serious complications of the heart.
* Echocardiogram. This test uses ultrasound images to show how well your heart and your coronary arteries are functioning.
No one knows what causes Kawasaki disease. A number of theories link the disease to bacteria, viruses or environmental chemicals or pollutants, but none has been proved. Kawasaki disease doesn't appear to be hereditary.
Your doctor will want to begin initial treatment for Kawasaki disease as soon as possible after the appearance of signs and symptoms, preferably while your child still has a fever. The goals of initial treatment are to lower fever and inflammation and prevent heart damage.
To accomplish those goals, your child's doctor may recommend:
* Aspirin. High doses of aspirin can reduce the fever, rash, joint inflammation and pain and help prevent blood clots from forming.
* Gamma globulin. Infusion of gamma globulin (an immune protein) through a vein (intravenously) can lower the risk of coronary artery abnormalities.
Nota kaki : Kalau anak korang ada tanda-tanda ni,terus la bawa ke hospital untuk pemeriksaan lanjut.
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