Children Kawasaki Treatment in Delhi : Dr. Gaurav Agrawal

Kawasaki disease is a disease that affects skin, mouth, and lymph nodes. Most commonly affected age group is around 5 years of age.

Etiology of this disease is not known.

Kawasaki Clinical Features

Clinical features are divided into 3 groups:

Acute phase: Last up to 2 weeks approximately. Most common symptom in this phase is fever that usually last for 5 days.

Other symptoms may be:

Redness in the eyes
Red, dry, cracked lips
Rash on the body
Swollen lymph nodes
Swollen tongue with a white coating and big red bumps (called “strawberry tongue”)

Second Phase: Usually begins within 2 weeks of when the fever started, begins with peeling of skin. Other symptoms can be joint pain, abdominal pain, diarrhea.

Kawasaki Diagnosis

Kawasaki disease diagnosed when child with fever lasting 5 or more days and at least four of these symptoms:

redness in both eyes
a rash in the chest, stomach, or genital area
a large swollen lymph node in the neck
changes around the lips, tongue, or mouth
changes in the fingers and toes, such as swelling, color change, or peeling
red, swollen palms of hands and soles of feet

Kawasaki Treatment

Treatment should be started as soon as possible, ideally within 10 days of when the fever begins. It is by giving IV Immunoglobulin along with high dose of aspirin. Later on low dose aspirin to be continued for a long duration depending on how much coronary arteries are affected.

Most child recover completely.

Complications

If not treated properly especially not treated in first 10 days of illness, Kawasaki disease may affect heart especially coronary arteries. Can leads to vasculitis of coronary arteries.

Cardiac arrhythmia or abnormal functioning of some heart valves also can occur.

Dr. Gaurav Agrawal

Dr Gaurav Agrawal is a Pediatric Cardiologist (Child and Fetal heart Specialist). Dr Agrawal is a pediatrician who has specialized training in the treatment of various child heart related problems (neonates to 18 years of age). He is also having a vast experience in fetal echocardiography.

He is one of the very few pediatricians in India who practices pediatric cardiology exclusively. Cardiac problems in children are common in children, sometimes life threating and often not diagnosed properly. Early diagnosis and timely treatment is very important. Areas of specific interest include child echocardiography including fetal echocardiography, diagnostic and therapeutic cardiac catheterization (pediatric cardiac holes closure by device, opening of obstructed cardiac valves by balloons etc).

Children Kawasaki Treatment in Delhi