How should Kawasaki disease be treated?

Patient's question:

The child patient has Kawasaki disease. They just had an echocardiogram of the heart. How should Kawasaki disease be treated? What should be paid attention to in daily life?

Doctor's answer:

The treatment for children with Kawasaki disease primarily involves intravenous infusion of immunoglobulin, and there are specific considerations for this intravenous immunoglobulin administration:
1. Timing: It should be effective within 4-10 days.
2. Dosage: 1 gram per kilogram of body weight per day, administered for 2 consecutive days.
On the basis of immunoglobulin infusion, antipyretic and analgesic drugs, as well as the antiplatelet drug aspirin, should be used. The dosage of aspirin should be 50-80 mg per kilogram of body weight per day, rapidly reduced to 3-5 mg per kilogram of body weight per day after fever subsides, within 3-5 days.
It is particularly important to emphasize regular follow-up: blood tests (including complete blood count and erythrocyte sedimentation rate), coronary artery ultrasound, and other examinations should be conducted.

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