Open AccessEnfermedad de Kawasaki: Consenso interdisciplinario e intersociedades
Author(s) -
Héctor Abate,
Dra Meiorin,
Dra Amalia,
Dra Coordinadores,
Elaboración Del,
Francisco Comas,
Adrián Collia,
Derek G Cook,
José Comité De Dermatología,
Dayana Flores,
David J. Castro,
Daniela Giachetti,
Dra Fernanda,
Greco Comité De Hematología,
Dra Attie,
Dra Goldman,
Dra. Yamilé Marcos Gutierrez,
Dra Hiramatsu,
Dra María,
Denis R. Morel,
David Bruno,
Dra Ensinck,
Pablo Melonari,
David W. Russ,
Agustín Shaieb,
Néstor Abramovich,
Leonardo Delilio,
Dra Gandolfi,
Dra Kadi,
D.V. Zaslavsky,
D.C. Fleitas Sosa,
Andrés Villa De Villafañe,
Dra Rosa,
Mabel Villasboas,
Fernanda Mateos,
Dra Buttiero,
Fernando Comité De Pediatría Ambulatoria,
Dra Vanina Stier,
D. V. Chorny,
Daniel Lombraña González,
Dra Carolina,
Héctor Díaz,
Claudio Grupo De Trabajo De Reumatología,
D. Barajas Galindo,
Laura Barzola,
D Los,
Ángeles Cocucci,
D. Fabi,
Daris Ferrari,
Dra Silvia,
Meiorin Área De Consensos Y Normas,
Mariano Falconi,
Sebastián Peralta,
Dra Schroh,
Dra Ana De Dios,
Christian Comité De Cardiología Clínica,
Dra Elizari,
Cecilia López,
Juan Benger,
Luciano Comité De Mediciuclear,
Alfonso Dos,
Santos Beheran,
Dra Natalia,
G Aramayo,
Resonancia Magnética,
Alejandro Deviggiano,
José Bosaleh,
Dra Macarena,
Zan Comité De Aterosclerosis Y Trombosis,
Darío Igolnikof,
Calmette-Guérin Blk
Publication year - 2016
Publication title -
archivos argentinos de pediatría
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2016.385
Subject(s) - medicine , kawasaki disease , vasculitis , myocardial infarction , artery , incidence (geometry) , cardiology , disease , physics , optics
Kawasaki disease is an acute self-limiting systemic vasculitis. It is the most common cause of acquired heart disease, with the risk of developing coronary artery aneurysms, myocardial infarction and sudden death. Diagnosis is based on the presence of fever in addition to other clinical criteria. The quarter of the Kawasaki disease patients have "incomplete" presentation. Treatment with intravenous immunoglobulin within ten days of fever onset improves clinical outcomes and reduces the incidence of coronary artery dilation to less than 5%. Non-responders to standard therapy have shown a successful response with the use of corticosteroids and/or biological agents. The long-term management must be delineated according to the degree of coronary involvement in a multidisciplinary manner. To facilitate the pediatrician's diagnosis, treatment and monitoring of Kawasaki disease, a group of experts from the Argentine Society of Pediatrics and the Argentine Society of Cardiology carried out a consensus to develop practical clinical guidelines.