What is the disease 40, what is the disease

Kawasaki is named after the first report of Tomi Kawasaki in Japan, also known as acute febrile ** mucosal lymphadenopathy syndrome. The main clinical manifestations are systemic vasculitis, acute fever, and rash. More than 80% of children under the age of 4 are affected, and the disease is most common around 1 year old.

The cause may be related to retroviral infection. Clinical symptoms: (1) Fever lasting more than 5 days, fever irregularity, up to more than 39, antibiotics ** ineffective.

2) Swollen hands and feet, flushing of palms and soles. Peeling of fingers and toes during convalescence. (3) Erythematous multiforme rash, without herpes and crusts.

4) Binocular conjunctivitis. (5) Red and chapped lips, strawberry-like tongue, and oropharyngeal flushing. (6) Swollen lymph nodes in the neck.

The disease should be differentiated from scarlet fever and erythema multiforme. **Principle (1) Strengthen nursing care to prevent secondary infections and complications. (2) Aspirin is preferred.

3) Antibiotics can be used to prevent secondary infections. The prognosis for most cases is good, but the problem is widespread involvement of the cardiovascular system and its severe consequences. In a few cases, sudden death can occur in the acute phase, or coronary artery disease may remain until adulthood.

It's Kawasaki disease. This disease was first reported in 1967 by Tomisaku Kawasaki of Japan, also known as acute febrile ** mucosal lymphadenopathy syndrome. The main clinical manifestations are systemic vasculitis, acute fever, and rash.

It occurs in 80% of children under 4 years of age, with the most common incidence occurring around 1 year of age. The nature of the disease is not well understood, but may be related to infectious and immune factors, and it has recently been suggested that retroviruses may be associated with the disease.

Sichuan teratosis is also known as acute febrile ** mucosal lymphadenopathy syndrome. The main clinical manifestations are systemic vasculitis, acute fever, and rash. It occurs in 80% of children under 4 years of age, with the most common incidence occurring around 1 year of age.

(1) Fever that lasts for more than 5 days, the fever type is irregular, up to 39 or more, and antibiotics are ineffective.

2) Swollen hands and feet, flushing of palms and soles. Peeling of fingers and toes during convalescence.

(3) Erythematous multiforme rash, without herpes and crusts.

4) Binocular conjunctivitis.

(5) Red and chapped lips, strawberry-like tongue, and oropharyngeal flushing.

(6) Swollen lymph nodes in the neck.

I hope that I still follow the doctor's instructions, and I can't guarantee that there will be no problems with my own medication.

Western medicine: dipyridine, inosine, energy mixture, 1-2 courses of treatment, choose to combine aspirin and hormones, penicillin for secondary infection. Ampicillin.

Traditional Chinese Medicine :(1) 4ml of Danshen injection (equivalent to 6g of Danshen) plus 10% grape enamel 100ml intravenous infusion, once a day, 10 days as a course of treatment, a total of 2 courses of treatment. (2) Use white tiger soup to add or subtract with the certificate:

30-50g of raw gypsum, 6-10g of Zhimu, 15-30g of radix radix, 20g of sea cucumber, 10g of Ophiopogon vulgaris, 20g of kudzu root, 6g of light bamboo leaves, 10g of Artemisia annua. Take one dose of decoction water per day, and take 10-15 doses for a course of treatment. (3) Topical medication:

Apply watermelon cream topically to the mouth.

This one is definitely going to the hospital. Ordinary medications are used. The important thing is that intravenous gamma globulin is a blood product, and before use, blood should be drawn for testing, and parents should sign it. And the dosage is more, **expensive. In addition, according to the situation, it is necessary to check the cardiac color ultrasound.

Analysis: Hello, Kawasaki disease is an acute febrile disease in children with systemic vasculitis as the main lesion, and the onset may be related to immune abnormalities caused by a variety of viruses, bacteria, rickettsia, mycoplasma and other infections.

Guidance: Kawasaki disease is self-limited, if it is good after the rain, but there will be complications such as human aneurysms. The main attention is to a reasonable diet, and give easy-to-digest, high-protein, vitamin-rich foods.

Pay attention to rest, avoid strenuous exercise, and take your medication on time and in the right amount.

While taking aspirin, stop taking it if you have a viral infection such as chickenpox. Go to the hospital in a timely manner.

After discharge, you should insist on regular follow-up. Children with coronary artery changes generally require a re-examination of cardiac ultrasound and electrocardiogram (ECG) from 1 to 3 months, and a re-examination every six months after the coronary artery returns to normal, and a re-examination after 3 consecutive normal periods.

Analysis: Hello, Kawasaki disease is an acute febrile exanthematine disease with systemic arteritic arteritic lesions as the main pathological changes, and the most serious spine damage is coronary artery injury.

Suggestion: Chain destruction.

Hello, Kawasaki disease is a self-limiting disease, and most of them have a good prognosis, which is seen in 1%-2% of children**. In children without ineffective disease, 15% to 25% of patients have coronary artery damage, and the mortality rate is cardiogenic shock due to myocardial infarction or ruptured coronary artery aneurysm. May I ask Ying Chun, does the child have coronary artery lesions?

Looking forward to hearing from you.

1.Coronary artery lesions: coronary artery lesions involve the proximal trunk, with the left anterior descending artery being the most common, followed by the left circumflex artery.

2.Gallbladder effusion: usually occurs during the sub-acute period of starvation, and severe abdominal pain, abdominal distension, and jaundice may occur. A mass may be felt in the right upper quadrant and can be confirmed by abdominal ultrasonography. Most of them heal spontaneously, but occasionally paralytic intestinal obstruction or intestinal bleeding may occur at the side of the mountain.

3.Arthritis or arthralgia: occurs in the acute or subacute phase, affects both large and small joints, occurs in about 20% of cases, and heals with improvement.

4.Nervous system changes: the acute phase includes aseptic meningitis, facial nerve palsy, hearing loss, acute encephalopathy and febrile convulsions, etc., which are caused by vasculitis, which are more common in clinical practice, with rapid recovery and good prognosis.

5.Other complications of pulmonary vasculitis are increased or patchy opacities on chest x-ray and occasionally pulmonary infarction. In the acute phase, urethritis may be present, and leukocytosis and mild proteinuria may be seen in urine sediment.

Iridocyclitis is less common. About 2% of patients develop systemic aneurysms, with axillary and iliac arteries being more common. Occasionally, gangrene of the toes is seen.

Guidance: The ** of Sichuan teratosis is not very obvious now, and it can generally be considered to be related to infection and immune factors. When suffering from Sichuan teratosis, the patient will have a fever that lasts for more than five days, and some even reach more than 39 degrees, and the antibiotic ** has a little effect; swollen hands and feet, flushing of palms and soles; erythematous multiforme rash without herpes and crusting; conjunctivitis of both eyes; red and chapped lips, strawberry-like tongue, oropharyngeal or flushed; Swollen lymph nodes in the neck.