Kawasaki Disease can seriously affect the cardiovascular system, particularly in children under five. Without timely treatment, it may lead to life-threatening heart complications. Parents’ awareness of this disease can help in recognizing symptoms early and seeking treatment, reducing the risk of severe heart issues in children.
Dr. Anusorn Srinroch, our pediatric cardiologist at Bangkok Hospital Hua Hin, explains that Kawasaki Disease is an inflammatory condition of unknown origin, unrelated to any specific season, and may involve an immune response to certain viral or bacterial infections. Symptoms to watch for include a high fever lasting more than five days that doesn’t respond to typical fever reducers, red and inflamed eyes without discharge, dry and cracked lips, a bright red “strawberry” tongue, swollen or peeling hands and feet, body rash, swollen joints, and enlarged neck lymph nodes. Early recognition is vital for prompt treatment.
Diagnosing Kawasaki Disease
If parents notice a prolonged high fever along with other symptoms, seeking medical attention early is essential. Early diagnosis and treatment can significantly reduce the risk of severe coronary complications, as Kawasaki Disease can cause inflammation in the coronary arteries, leading to aneurysms, narrowing, or blockages. These issues may result in restricted blood flow, heart attacks, or even heart failure.
Diagnosis involves a thorough evaluation of symptoms and additional tests, as Kawasaki Disease cannot be confirmed by blood tests alone. Doctors may use an electrocardiogram (EKG), chest X-ray, and echocardiogram (heart ultrasound) to detect coronary inflammation and assess the condition of the coronary arteries, heart valves, pericardium, and overall heart function.
Treatment and Care for Kawasaki Disease
When Kawasaki Disease is diagnosed, treatment should begin within 10 days or as early as possible. The primary approach is to reduce blood vessel inflammation using immunoglobulin therapy and anti-inflammatory medication, such as aspirin, to minimize the risk of coronary complications. Early treatment significantly lowers the chances of heart issues, allowing most children to recover well and regain their health. However, some may require long-term heart monitoring.
Long–Term Care and Follow–Up for Kawasaki Disease
While most children recover fully after treatment, some may need ongoing heart health monitoring to assess risks of future complications, such as coronary artery aneurysms. Parents should stay informed about the disease and ensure regular medical check-ups as recommended to support their child’s health.
“While Kawasaki Disease is rare in children, it requires close attention. Children who have had it once may experience recurrence, and there is no known prevention. Parents who quickly recognize the symptoms and seek prompt treatment can ensure their child receives proper care. With timely and correct treatment from a specialist doctor, children can fully recover and reduce future heart health complications.” Dr. Anusorn concludes.
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For more information and booking an appointment, please contact :
Tel. 032-616-800 Call Center, Bangkok Hospital Hua Hin
Tel. 032-616-883 Pediatric Department (8.00 – 17.00 hrs.)
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