KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN

Objective: To study the clinical features, investigations, cardiac complications, effects of treatment and demographic profiles in patients with classical Kawasaki disease (KD). Study Design: Descriptive study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2007...

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Autores principales:	Shahid Mahmud, Syed Awais Ul Hassan Shah, Shahneela .
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	cornonary artery aneurysms diagnostic criteria echocardiography fever with rash kawasaki disease pakistan Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d34b5666d21247fd9c528a272e3fbaec
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spelling	oai:doaj.org-article:d34b5666d21247fd9c528a272e3fbaec2021-12-02T02:41:15ZKAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN0030-96482411-8842https://doaj.org/article/d34b5666d21247fd9c528a272e3fbaec2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2280/1977https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To study the clinical features, investigations, cardiac complications, effects of treatment and demographic profiles in patients with classical Kawasaki disease (KD). Study Design: Descriptive study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2007 to Dec 2011. Patients and Methods: Twenty five children of either gender aged 2 months to 12 years diagnosed with KD based on the international diagnostic criteria were included in this study. Collected data included patient demographics, clinical features, investigations, echo-cardio graphic findings, treatment and follow-up. Results: A total of 25 patients were evaluated during the above mentioned duration. Mean age at diagnosis was 3.7 years (SD ± 3.05). Fever was present in 100% of the patients with the other major diagnostic features present in more than 90% of the patients. Seventeen (68%) patients presented after ten days of fever. Coronary aneurysms were seen in 40% of the patients. We administered intravenous immune-globulins (IVIG) in 100% of the patients. 12% of the patients still had coronary aneurysms after 1 year of diagnosis. There was no mortality. Conclusion: KD needs to be considered in the differential diagnosis of all children with persistent unexplained fever with rash. A great number of cases of KD are missed and treated as common cold or flu. Diagnostic criteria used for KD is helpful in diagnosis of KD and can help in early prompt treatment with IVIG to prevent the life threatening complication of coronary aneurysms.Shahid MahmudSyed Awais Ul Hassan ShahShahneela .Army Medical College Rawalpindiarticlecornonary artery aneurysmsdiagnostic criteriaechocardiographyfever with rashkawasakidiseasepakistanMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1143-1148 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	cornonary artery aneurysms diagnostic criteria echocardiography fever with rash kawasaki disease pakistan Medicine R Medicine (General) R5-920
spellingShingle	cornonary artery aneurysms diagnostic criteria echocardiography fever with rash kawasaki disease pakistan Medicine R Medicine (General) R5-920 Shahid Mahmud Syed Awais Ul Hassan Shah Shahneela . KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
description	Objective: To study the clinical features, investigations, cardiac complications, effects of treatment and demographic profiles in patients with classical Kawasaki disease (KD). Study Design: Descriptive study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2007 to Dec 2011. Patients and Methods: Twenty five children of either gender aged 2 months to 12 years diagnosed with KD based on the international diagnostic criteria were included in this study. Collected data included patient demographics, clinical features, investigations, echo-cardio graphic findings, treatment and follow-up. Results: A total of 25 patients were evaluated during the above mentioned duration. Mean age at diagnosis was 3.7 years (SD ± 3.05). Fever was present in 100% of the patients with the other major diagnostic features present in more than 90% of the patients. Seventeen (68%) patients presented after ten days of fever. Coronary aneurysms were seen in 40% of the patients. We administered intravenous immune-globulins (IVIG) in 100% of the patients. 12% of the patients still had coronary aneurysms after 1 year of diagnosis. There was no mortality. Conclusion: KD needs to be considered in the differential diagnosis of all children with persistent unexplained fever with rash. A great number of cases of KD are missed and treated as common cold or flu. Diagnostic criteria used for KD is helpful in diagnosis of KD and can help in early prompt treatment with IVIG to prevent the life threatening complication of coronary aneurysms.
format	article
author	Shahid Mahmud Syed Awais Ul Hassan Shah Shahneela .
author_facet	Shahid Mahmud Syed Awais Ul Hassan Shah Shahneela .
author_sort	Shahid Mahmud
title	KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
title_short	KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
title_full	KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
title_fullStr	KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
title_full_unstemmed	KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN
title_sort	kawasaki disease experience at tertiary care hospital rawalpindi, pakistan
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/d34b5666d21247fd9c528a272e3fbaec
work_keys_str_mv	AT shahidmahmud kawasakidiseaseexperienceattertiarycarehospitalrawalpindipakistan AT syedawaisulhassanshah kawasakidiseaseexperienceattertiarycarehospitalrawalpindipakistan AT shahneela kawasakidiseaseexperienceattertiarycarehospitalrawalpindipakistan
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KAWASAKI DISEASE EXPERIENCE AT TERTIARY CARE HOSPITAL RAWALPINDI, PAKISTAN

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