Modern approache to the diagnosis and treatment of Kawasaki disease (а literature review)
DOI:
https://doi.org/10.15574/SP.2024.138.115Keywords:
Kawasaki disease, complete Kawasaki disease, incomplete Kawasaki disease, prolonged fever, rash, coronary artery aneurysms, immunoglobulin, warfarin, childrenAbstract
Kawasaki disease (KD) is a vasculitis of unknown origin, accompanied by fever and mucocutaneous syndrome, predominantly found in infants. KD is the most common cause of acquired heart disease in children in developed countries, which is complicated by the occurrence of coronary artery aneurysms in 25% of untreated patients due to coronary artery vasculitis.
The aim is to analyze the guidelines of the American Heart Association, the Single Hub and Access Point for Paediatric Rheumatology in Europe (SHARE), as well as Japanese instructions on modern approaches to the diagnosis and treatment of Kawasaki disease.
Clinical studies show that this rate decreases to ∼4% during treatment with intravenous immunoglobulin. Although some new studies show worse outcomes despite immunoglobulin treatment, especially in infants under 12 months of age. The complexity and heterogeneity of the course of KD, a wide differential diagnosis and the lack of a specific diagnostic tests are often serious obstacles on the way to diagnosis.
Taking into account some differences in American, European, and Japanese guidelines for the treatment of KD, we consider it appropriate to follow European guidelines, which are most similar to American ones and are best suited for Europeans.
The authors declare no conflict of interest.
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