Kawasaki Disease in Babies
Kawasaki disease is an illness that involves the skin, mouth, and lymph nodes, and most often affects kids under age 5. The cause is unidentified, however if the symptoms are acknowledged early, kids with Kawasaki disease can fully recover within a couple of days. Without treatment, it can result in serious complications that can affect the heart.
Kawasaki disease is most common among children of Japanese and Korean descent, but can affect all ethnic groups. It can happen after IVIG treatment, vaccination and flu shot, carpet cleaning, care, scarlet fever, strep, etc.
Kawasaki disease can damage the coronary arteries, which bring blood to the heart muscle. Many children who are dealt with recuperate from the disease without long-term problems. Your doctor will watch your child for heart issues for a few weeks to a couple of months after treatment.
Symptoms and Signs of Kawasaki Disease
Kawasaki disease can’t be prevented, but usually has telltale symptoms and signs that appear in phases. The first phase, which can last for approximately 2 weeks, typically includes a fever that lasts for at least 5 days.
Other symptoms include:
- severe soreness in the eyes
- a rash on the stomach, chest, and genitals
- red, dry, broken lips
- swollen tongue with a white coating and big red bumps (called “strawberry tongue”)
- sore, irritated throat
- swollen palms of the hands and soles of the feet with a purple-red color
- swollen lymph nodes
During the second stage, which typically begins within 2 weeks of when the fever began, the skin on the hands and feet may begin to peel in big pieces. This can even occur in children who have already been treated. A child also might have joint pain, diarrhea, vomiting, or abdominal pain.
If your child reveals any of these symptoms, call your doctor.
Kawasaki Disease in Babies Complications
Medical professionals can manage the symptoms of Kawasaki disease if it’s captured early. Most kids will feel better within 2 days of starting treatment. Heart issues normally will not develop if Kawasaki disease is dealt with within 10 days of the start of symptoms.
Neglected cases can result in more serious complications, such as vasculitis, a swelling of the capillary. This can be especially hazardous because it can affect the coronary arteries, which supply blood to the heart.
Besides the coronary arteries, the heart muscle, lining, valves, and the outer membrane around the heart can become irritated. Arrhythmias (modifications in the typical pattern of the heart beat) or irregular performance of some heart valves likewise can take place.
Kawasaki disease can look much like other typical youth viral and bacterial illnesses. No single test can find Kawasaki disease, so medical professionals generally diagnose it by checking the symptoms and dismissing other conditions.
A lot of kids identified with Kawasaki disease will have a fever lasting 5 or more days and at least four of these symptoms:
- inflammation in both eyes
- modifications around the lips, tongue, or mouth
- changes in the fingers and toes, such as swelling, color modification, or peeling
- a rash in the chest, stomach, or genital area
- a large swollen lymph node in the neck
- red, swollen palms of hands and soles of feet
If Kawasaki disease is thought, the doctor might buy tests to keep an eye on heart function (such as an echocardiogram) and might take blood and urine (pee) samples to eliminate other conditions, such as scarlet fever, measles, Rocky Mountain identified fever, juvenile rheumatoid arthritis, or an allergic drug response.
Treatment for Kawasaki Disease in Babies
Treatment should begin as quickly as possible, preferably within 10 days of when the fever begins. Normally, a child is treated with intravenous (IV) doses of gamma globulin (cleansed antibodies), a component of blood that helps the body fight infection.
A child likewise might be offered a high dose of aspirin to lower the risk of heart problems. Some kids with Kawasaki disease are put on a low dosage of aspirin for a long time to avoid heart problems. It’s essential for these children to get their annual flu shot to help prevent viral health problems while they are taking the aspirin. This is due to the fact that there’s a risk of Reye syndrome, an unusual but major illness, in children who take aspirin during a viral illness. Constantly speak to your doctor before providing any of your kids aspirin.
Most children with Kawasaki disease begin to get far better after a single treatment with gamma globulin, though often more dosages are needed. The majority of kids recuperate totally, but some (particularly those who establish heart issues after Kawasaki disease) may need require further testing and treatments with a cardiologist.