Pranas Šerpytis, Žaneta Petrulionienė, Urtė Gargalskaitė, Aurelija Gedminaitė, Violeta Panavienė
Abstract
Kawasaki disease appears to be the most common cause of acquired heart disease and later on myocardialinfarction in children. It draws special attention to itself because of its undisclosed etiopathogenesis of developing coronary arteries aneurysms and is-chemic heart disease as well as lack of pathognomonicsymptoms or definite diagnostic criteria. It is usually diagnosed when fever is present for five or more days together with various mucocutaneous manifestations. Although there are no specific laboratoryfindings, inflammatory markers are most oftenhelpful to rule out Kawasaki disease or to predictthe risk of its complications. Cardiac imaging is also essential because coronary abnormalities is one of the most severe complications of the disease. Though treatment schemes are established, new approachesappear due to intensive research programs and constantly updating news on etiology, pathogenesisand previous cases outcomes.
Keyword(s): kawasaki disease, coronary arteries lesions, aneurysmatic dilatation, immunoglobulin
DOI: 10.5200/sm-hs.2014.039
Full Text: PDF