kawasaki disease…

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lymphatic system, kawasaki's disease, peeling, the fingertips, kawasaki's disease, edema, the hand, mucocutaneous lymph node syndrome, infantile polyarteritis, kawasaki disease, rare condition in children that involves inflammation, the blood vessels, condition, accompanied by a fever that lasts at least 5 days, classic symptoms, red eyes, lips, mouth, rash, swollen, red hands, feet, swollen lymph nodes, kawasaki disease occurs most frequently in japan, disease was first discovered, occurs in all ethnicities, united states, where kawasaki disease, leading cause of acquired heart disease in children, over 4,000 children develop it each year, 80% of patients, younger than 5 years of age, kawasaki disease, poorly understood illness, has not been determined, an autoimmune disorder precipitated by unknown outside factors, disorder affects the mucus membranes, lymph nodes, walls, the blood vessels, heart, heart's involvement, complications, most important aspect, kawasaki disease, cause inflammation of blood vessels, in the coronary arteries, lead to aneurysms, an aneurysm, weakened area of blood vessel that balloons out, such aneurysms, lead to heart attack, in young children, kawasaki disease often begins, a high, persistent fever greater than 102°f, 104°f, a persistent fever lasting at least five days, considered a hallmark sign, fever, persist steadily, up to two weeks, not very responsive to normal doses of acetaminophen, ibuprofen, symptoms often, extremely bloodshot, red eyes, pus, drainage, bright red, chapped, cracked lips, red mucous membranes, in the mouth, strawberry tongue, white coating on the tongue, prominent red bumps on the back, the tongue, red palms, the hands, soles, the feet, swollen hands, feet, skin rashes, not blister-like, on the trunk, peeling skin, in the genital area, hands, feet, around the nails, palms, soles, swollen lymph nodes, frequently only one lymph node is swollen, in the neck area, joint pain, swelling, frequently symmetrical, no tests that specifically diagnose kawasaki disease, diagnosis, the patient having most, the classic symptoms, children, fever lasting more than 5 days, few, the other classic symptoms, all children, fever lasting more than 5 days, evaluated, kawasaki disease considered, a possibility, american heart association released guidelines, assessment, in the october 26, 2004 issue of circulation, early treatment is essential, have the disease, following tests performed, complete blood count, esr, electrocardiogram, echocardiogram, chest x-ray, urinalysis, pus, in the urine, protein, in the urine, procedures ecg, echocardiography, reveal signs of myocarditis, pericarditis, arthritis, aseptic meningitis, inflammation, the coronary arteries, children, kawasaki disease, hospitalized, care, delivered by both pediatric cardiology, infectious disease specialists, no infectious agent has been discovered, treatment must be started, the diagnosis is made, prevent damage, coronary arteries, heart, intravenous gamma globulin, standard treatment, kawasaki disease, administered in high doses, child's condition, greatly improves, 24 hours of treatment, iv gamma globulin, aspirin, given in combination, the iv gamma globulin, the treatment plan, early recognition, full recovery, expected, 2% of patients die from complications of coronary blood vessel inflammation, patients, had kawasaki disease should have an echocardiogram every 1-2 years to screen, heart problems, complications involving the heart, vessel inflammation, aneurysm, cause a heart attack at a young age, later in life, american heart association's october 2004 guidelines provide details on life-long followup, symptoms of kawasaki disease develop, a persistent high grade fever that is unresponsive to acetaminophen, ibuprofen, lasts more than 24 hours, evaluated by a physician, no known measures, prevent this disorder.