Treatment Guideline Chart
Kawasaki disease is an acute, febrile illness that is self-limited. It is a systemic vasculitic syndrome that primarily involves the medium- and small-sized muscular arteries of the body.
It is also known as mucocutaneous lymph node syndrome.
It affects primarily children <5 years old with peak incidence in 1-2 year of age.
The cause remains unknown but current research supports an infectious origin.
Epidemiological findings suggest that genetic predisposition and environmental factors play a role in the pathogenesis of the disease.

Kawasaki Disease References

  1. Chao B, Wang X, Wu L, et al. Diagnostic value of dual-source CT in Kawasaki disease. Chin Med J. 2010 Mar;123(6):670-674. PMID: 20368084
  2. De Rosa G, Pardeo M, Rigante D. Current recommendations for the pharmacologic therapy in Kawasaki syndrome and management of its cardiovascular complications. Eur Rev Med Pharmacol Sci. 2007 Mar;11(5):301-308. http://www.ncbi.nlm.nih.gov/pubmed/?term=18074939. PMID: 18074939
  3. Freeman A, Shulman F, Stanford T. Kawasaki disease: summary of the American Heart Association guidelines. Am Fam Physician. 2006 Oct;74(7):1141-1148. http://www.aafp.org/afp/2006/1001/p1141.html. PMID: 17039750
  4. Falcini F, Capannini S, Rigante D. Kawasaki syndrome: an intriguing disease with numerous unsolved dilemmas. Pediatr Rheumatol. 2011 Jul;9:17. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163180/pdf/1546-0096-9-17.pdf. PMID: 21774801
  5. Kim DS. Kawasaki Disease. Yonsei Medl J. 2006 Dec;47(6):759-772. http://www.eymj.org/Synapse/Data/PDFData/0069YMJ/ymj-47-759.pdf. PMID: 17191303
  6. JCS Joint Working Group. Guidelines for diagnosis and management of cardiovascular sequelae in Kawasaki disease (JCS 2008) [digest version]. Aug 18, 2010. Circ J. 2010 Sep;74(9):1989-2020. https://www.jstage.jst.go.jp/article/circj/74/9/74_CJ-10-74-0903/_pdf. PMID: 20724794
  7. Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment and long-term management of Kawasaki disease: A statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2004 Oct;110(17):2747-2771. http://circ.ahajournals.org/content/110/17/2747.full.pdf. PMID: 15505111
  8. Yellen ES, Gauvreau K, Takahashi M, et al. Performance of 2004 American Heart Association recommendations for treatment of Kawasaki disease. Jan 25, 2010. Pediatrics. 2010 Feb;125(2):e234-e241. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896313/pdf/nihms209849.pdf. PMID: 20100771
  9. Son MB, Newburger JW. Kawasaki disease. In: Kliegman RM, Stanton BF, St Geme JW III, et al, eds. Nelson textbook of Pediatrics. 19th ed. Philadelphia, PA: Saunders, Elsevier; 2011.
  10. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  11. Sundel R. Kawasaki disease: Initial treatment and prognosis. UptoDate Web Site. http://www.uptodate.com/contents/search. Feb 2012. Accessed 09 Jul 2013.
  12. Sundel R. Treatment of refractory Kawasaki disease. UptoDate Web Site. http://www.uptodate.com/contents/treatment-of-refractory-kawasaki-disease. Jun 2013. Accessed 09 Jul 2013.
  13. JCS Joint Working Group. Guidelines for diagnosis and management of cardiovascular sequelae in kawasaki disease (JCS 2013). Circ J. 2014 Sep;78(10):2521-2562. https://www.jstage.jst.go.jp/article/circj/78/10/78_CJ-66-0096/_pdf. PMID: 25241888
  14. Research Committee of the Japanese Society of Pediatric Cardiology; Cardiac Surgery Committee for Development of Guidelines for Medical Treatment of Acute Kawasaki Disease. Guidelines for medical treatment of acute Kawasaki disease: report of the Research Committee of the Japanese Society of Pediatric Cardiology and Cardiac Surgery (2012 revised version). Pediatr Int. 2014 Apr;56(2):135-158. doi: 10.1111/ped.12317. Accessed 15 Oct 2014. PMID: 24730626
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