Difference between revisions of "Kawasaki disease history and symptoms"

Jump to: navigation, search
(History and Symptoms)
(Common Symptoms)
 
(7 intermediate revisions by the same user not shown)
Line 3: Line 3:
 
{{CMG}}; {{AE}} {{SH}}
 
{{CMG}}; {{AE}} {{SH}}
 
== Overview ==
 
== Overview ==
Kawasaki disease often begins with a high and persistent [[fever]] that is not very responsive to normal doses of [[acetaminophen]] or [[ibuprofen]]. The fever may persist and rise steadily for up to two weeks and is normally accompanied by irritability. Affected children develop red eyes, [[Mucous membrane|mucous membranes]], and lips, a "[[strawberry tongue]]", iritis, keratic precipitates (detectable by an ophthalmologist but usually too small to be seen by the naked eye), and swollen [[Lymph node|lymph nodes]]. [[Skin rash|Skin rashes]] occur early in the disease, and peeling of the skin in the [[genital area]], hands, and feet may occur in later phases. Some of these symptoms may come and go during the course of the illness.  
+
Kawasaki disease often begins with a high and persistent [[fever]] that is not very responsive to normal doses of [[acetaminophen]] or [[ibuprofen]]. The fever may persist and rise steadily for up to two weeks and is normally accompanied by irritability. Affected children develop redness of the eyes, [[Mucous membrane|mucous membranes]], and lips, a "[[strawberry tongue]]", [[iritis]], keratic precipitates (detected by an [[Ophthalmology|ophthalmologist]] but usually too small to be seen by the naked eye), and swollen [[Lymph node|lymph nodes]]. [[Skin rash]] occur early in the [[disease]], and peeling of the [[skin]] in the [[genital area]], [[Hand|hands]], and feet may occur in the later phases. Some of these [[Symptom|symptoms]] may come and go during the course of the [[illness]].  
  
 
==History and Symptoms==
 
==History and Symptoms==
Symptoms of Kawasaki disease include a high and persistent [[fever]], skin rashes, [[desquamation]] of skin, [[irritability]], erythematous eyes, lips and [[Mucous membrane|mucous membranes]], [[strawberry tongue]], [[iritis]], keratic precipitates, and swollen [[Lymph node|lymph nodes]].<ref name="McCrindleRowley2017">{{cite journal|last1=McCrindle|first1=Brian W.|last2=Rowley|first2=Anne H.|last3=Newburger|first3=Jane W.|last4=Burns|first4=Jane C.|last5=Bolger|first5=Anne F.|last6=Gewitz|first6=Michael|last7=Baker|first7=Annette L.|last8=Jackson|first8=Mary Anne|last9=Takahashi|first9=Masato|last10=Shah|first10=Pinak B.|last11=Kobayashi|first11=Tohru|last12=Wu|first12=Mei-Hwan|last13=Saji|first13=Tsutomu T.|last14=Pahl|first14=Elfriede|title=Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association|journal=Circulation|volume=135|issue=17|year=2017|pages=e927–e999|issn=0009-7322|doi=10.1161/CIR.0000000000000484}}</ref>
+
[[Symptom|Symptoms]] of Kawasaki disease include a high and persistent [[fever]], skin rashes, [[desquamation]] of skin, [[irritability]], [[erythema]] of the [[Eye|eyes]], [[Lip|lips]], and [[Mucous membrane|mucous membranes]], [[strawberry tongue]], [[iritis]], keratic precipitates, and swollen [[Lymph node|lymph nodes]].<ref name="McCrindleRowley2017">{{cite journal|last1=McCrindle|first1=Brian W.|last2=Rowley|first2=Anne H.|last3=Newburger|first3=Jane W.|last4=Burns|first4=Jane C.|last5=Bolger|first5=Anne F.|last6=Gewitz|first6=Michael|last7=Baker|first7=Annette L.|last8=Jackson|first8=Mary Anne|last9=Takahashi|first9=Masato|last10=Shah|first10=Pinak B.|last11=Kobayashi|first11=Tohru|last12=Wu|first12=Mei-Hwan|last13=Saji|first13=Tsutomu T.|last14=Pahl|first14=Elfriede|title=Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association|journal=Circulation|volume=135|issue=17|year=2017|pages=e927–e999|issn=0009-7322|doi=10.1161/CIR.0000000000000484}}</ref>
 
===History===
 
===History===
Patients with Kawasaki disease may have a positive history of:
+
[[Patient|Patients]] with Kawasaki disease may have a positive history of:
 
*[[Fever]] not responsive to [[acetaminophen]] or [[ibuprofen]]
 
*[[Fever]] not responsive to [[acetaminophen]] or [[ibuprofen]]
 
===Common Symptoms===
 
===Common Symptoms===
 
{| align="right"
 
{| align="right"
|[[Image:Kawasaki symptoms B.jpg|thumb|center|500px|Source:commons.wikimedia. org, demonstrates a "strawberry tongue" caused by prominence of the tongue papillae by Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776137]]
+
|[[File:Kawasaki tongue.jpg|300px|thumb|center| Strawberry tongue and bright red, swollen lips with vertical cracking and bleeding.<ref>By Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776137</ref>]]
 
|}
 
|}
Common symptoms of Kawasaki disease include:
+
Common [[Symptom|symptoms]] of Kawasaki disease include:
 
*High grade [[fever]]
 
*High grade [[fever]]
 
**Greater than 39&nbsp;°C or 102&nbsp;°F; often as high as 40&nbsp;°C  or 104&nbsp;°F that normally lasts for more than a week if left untreated
 
**Greater than 39&nbsp;°C or 102&nbsp;°F; often as high as 40&nbsp;°C  or 104&nbsp;°F that normally lasts for more than a week if left untreated
*[[Red eye|Conjunctival injection]]
+
*[[Red eye|Redness of eyes]]
 
*Fissuring of the lips
 
*Fissuring of the lips
*[[Strawberry tongue]] with prominent papillae
+
*[[Strawberry tongue|Red discoloration of the tongue]]
*Erythematous palms of the hand and soles of the feet
+
*[[Erythema|Redness]] of [[Hand|palms]] and [[Sole (foot)|soles]]
*[[Desquamation]] of skin
+
*[[Desquamation|Peeling of skin]]
*Erythematous mucous membranes
+
*Red [[Mucous membrane|mucous membranes]]
*Cervical [[lymphadenopathy]]
+
*[[lymphadenopathy|Neck swelling]]
*[[Rash]] over the trunk
+
*[[Rash]]
 +
 
 
===Less Common Symptoms===
 
===Less Common Symptoms===
Less common symptoms of Kawasaki disease include:
+
Less common [[Symptom|symptoms]] of Kawasaki disease include:
*[[Uveitis]]
+
*[[Uveitis|Eye redness, pain, and blurred vision]]
 
*[[Tachycardia]]
 
*[[Tachycardia]]
 
*[[Nausea and vomiting|Vomiting]]
 
*[[Nausea and vomiting|Vomiting]]

Latest revision as of 19:48, 14 February 2020

Kawasaki disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Kawasaki disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Guidelines for Management

Case Studies

Case #1

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Kawasaki disease history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Kawasaki disease history and symptoms

CDC on Kawasaki disease history and symptoms

Kawasaki disease history and symptoms in the news

Blogs on Kawasaki disease history and symptoms

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Kawasaki disease history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Kawasaki disease often begins with a high and persistent fever that is not very responsive to normal doses of acetaminophen or ibuprofen. The fever may persist and rise steadily for up to two weeks and is normally accompanied by irritability. Affected children develop redness of the eyes, mucous membranes, and lips, a "strawberry tongue", iritis, keratic precipitates (detected by an ophthalmologist but usually too small to be seen by the naked eye), and swollen lymph nodesSkin rash occur early in the disease, and peeling of the skin in the genital area, hands, and feet may occur in the later phases. Some of these symptoms may come and go during the course of the illness.

History and Symptoms

Symptoms of Kawasaki disease include a high and persistent fever, skin rashes, desquamation of skin, irritability, erythema of the eyes, lips, and mucous membranes, strawberry tongue, iritis, keratic precipitates, and swollen lymph nodes.[1]

History

Patients with Kawasaki disease may have a positive history of:

Common Symptoms

Strawberry tongue and bright red, swollen lips with vertical cracking and bleeding.[2]

Common symptoms of Kawasaki disease include:

Less Common Symptoms

Less common symptoms of Kawasaki disease include:

References

  1. McCrindle, Brian W.; Rowley, Anne H.; Newburger, Jane W.; Burns, Jane C.; Bolger, Anne F.; Gewitz, Michael; Baker, Annette L.; Jackson, Mary Anne; Takahashi, Masato; Shah, Pinak B.; Kobayashi, Tohru; Wu, Mei-Hwan; Saji, Tsutomu T.; Pahl, Elfriede (2017). "Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association". Circulation. 135 (17): e927–e999. doi:10.1161/CIR.0000000000000484. ISSN 0009-7322.
  2. By Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776137

Linked-in.jpg