What should be paid attention to in the diet for Kawasaki disease?

Written by Li Jiao Yan
Neonatology
Updated on September 26, 2024
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Kawasaki disease is a type of mucocutaneous lymph node syndrome, and its main pathological change is systemic vasculitis. Its main characteristics include persistent fever, high fever, ineffective antibiotic treatment, followed by the appearance of a skin rash on the mucous membranes, accompanied by enlarged lymph nodes. When Kawasaki disease occurs, there is a high fever, so it is suggested that children with Kawasaki disease should consume a diet high in protein, calories, and fiber, which is light and easily digestible in liquid or semi-liquid form. Spicy, overly hard, and overly hot foods should be avoided.

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Written by Li Jiao Yan
Neonatology
1min 14sec home-news-image

Can Kawasaki disease be cured?

Kawasaki disease, also known as mucocutaneous lymph node syndrome, has an unclear pathogenesis. The primary pathological change is systemic vasculitis. It commonly affects infants and young children, with 80% of cases occurring in children under five years of age. Kawasaki disease is a self-limiting condition, and most cases have a good prognosis. However, there is a 1% to 2% chance of recurrence. If not effectively treated, 15% to 25% of cases may develop coronary artery aneurysms. These aneurysms often resolve on their own within two years after the disease, but often leave behind abnormalities such as thickening of the vessel wall and decreased elasticity. Larger aneurysms may not completely resolve and can lead to thrombosis or narrowing of the vessel. Kawasaki disease is also one of the causes of acquired heart disease in children. Therefore, Kawasaki disease should be treated promptly and effectively to prevent severe complications.

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Written by Li Jiao Yan
Neonatology
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Does Kawasaki disease cause a rash on the face?

The pathogenesis of Kawasaki disease is unclear, and the main pathological change is systemic vasculitis. Typically, the rash is a polymorphic erythema or a scarlatiniform rash, primarily occurring on the trunk. Generally, facial rashes are rare, but it's not entirely impossible for rashes to appear on the face. Therefore, if a baby develops a rash on the face without other infections, Kawasaki disease might also present this symptom.

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Written by Li Jiao Yan
Neonatology
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The recurrence rate of Kawasaki disease

Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a type of pediatric autoimmune disease that commonly affects infants and young children, especially those under the age of five. The exact mechanisms and causes of the disease are still unclear. The primary pathological change is systemic vasculitis, frequently affecting the coronary arteries. The recurrence rate of Kawasaki disease is between 1%-3%, with a few cases experiencing three or even four occurrences. The interval between recurrences ranges from three months to one year, averaging one year and five months. Studies have shown that being younger than three years old at the time of the first episode and having vascular damage are risk factors for recurrence.

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Written by Li Jiao Yan
Neonatology
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How many days does it take to be discharged from the hospital for Kawasaki disease?

Kawasaki disease is a disease with unclear pathogenesis and etiology. A major pathological change is systemic vasculitis, which commonly affects the coronary arteries. Typically, it presents with fever lasting from seven to fourteen days or longer, and antibiotics are ineffective in treatment. During the first through sixth weeks of the illness, complications such as pericarditis, myocarditis, endocarditis, and arrhythmias may occur. Coronary artery damage often occurs between the second and fourth weeks of the illness, and proactive and effective treatment of Kawasaki disease can prevent coronary complications. The acute phase generally involves symptomatic supportive care, prevention of platelet aggregation, fever reduction, and prevention of coronary artery damage. Treatment with intravenous immunoglobulin is recommended within the first ten days of onset. If the treatment is not effective, other special medications like steroids may be used, and the treatment duration is generally between two to four weeks. Thus, the pathogenesis of Kawasaki disease is uncertain, and its pathological process is prolonged. The specific timing of discharge depends on the child's condition. If the fever is controlled and no significant coronary artery damage is evident, and the condition is stable, then discharge is possible. However, post-discharge, follow-up should be conducted based on the child's specific condition. Therefore, the duration of hospitalization for Kawasaki disease is not fixed and depends on the child's condition and treatment response.

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Written by Li Jiao Yan
Neonatology
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Why do children get Kawasaki disease?

Kawasaki disease has an unclear pathogenesis. It is speculated that it may be related to infections by microorganisms or other pathogens, familial genetic susceptibility, or autoimmune functions. Currently, the entire medical history is unclear, and there is no specific epidemiology identified for the onset of the disease; it can occur in any of the four seasons. The disease primarily affects infants and young children, with about 80% of cases occurring in children under five years of age. The ratio of male to female incidence is approximately 1.5:1. Thus, Kawasaki disease is most commonly seen in infants and young children. Currently, there is no definitive explanation for the mechanism of the disease.