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Diagnosis of Kawasaki disease

Surjit Singh1, Ankur Kumar Jindal1, Rakesh Kumar Pilania1

  • 1Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Post-Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

International Journal of Rheumatic Diseases
|November 14, 2017
PubMed

Insights

Kawasaki disease (KD), a vasculitis affecting coronary arteries, is diagnosed clinically. Echocardiography aids in diagnosing and managing KD, particularly in challenging pediatric cases.

Area of Science:

  • Pediatric Rheumatology
  • Cardiovascular Medicine
  • Vasculitis Research

Background:

  • Kawasaki disease (KD) is a primary cause of acquired heart disease in children.
  • Diagnosis relies on clinical criteria due to the absence of a specific laboratory test.
  • Atypical and incomplete presentations complicate KD diagnosis, especially in infants.

Purpose of the Study:

  • To review diagnostic steps for Kawasaki disease.
  • To emphasize the role of echocardiography in KD diagnosis and management.
  • To provide an overview of current diagnostic guidelines.

Main Methods:

  • Literature review of Kawasaki disease diagnosis and management.
  • Analysis of clinical criteria and diagnostic challenges.
  • Discussion of echocardiographic findings in KD.

Main Results:

  • Current diagnostic criteria, including the 2017 AHA guidelines, are presented.
  • Challenges in diagnosing incomplete or atypical KD are highlighted.
  • Echocardiography is crucial for identifying coronary artery abnormalities.

Conclusions:

  • Accurate diagnosis of Kawasaki disease requires careful clinical evaluation.
  • Echocardiography is essential for timely diagnosis and effective management of KD.
  • Further research may improve diagnostic accuracy for atypical KD presentations.

Keywords:
AHAKawasaki diseasediagnosisechocardiography

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