Patient's question:
Daughter has been having persistent high fever these days. Even after taking fever-reducing medicine, it hasn't improved. It keeps fluctuating. She went to the hospital for a thorough examination, and the doctor said it's Kawasaki disease. It sounds very serious. I want to ask the doctor a few questions: How does Kawasaki disease occur?Doctor's answer:
Kawasaki disease, generally an acute febrile illness with systemic vasculitis as the primary inflammation. Clinical manifestations include fever, rash, non-purulent cervical lymphadenopathy, conjunctival congestion, diffuse hyperemia of oral mucosa, strawberry tongue, palmar and plantar erythema, bone and muscle stiffness and edema, etc. During the recovery period of Kawasaki disease, attention should be paid to regular follow-up tests. Based on platelet count and cardiac MRI status, tests such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), myocardial enzymes, cardiac MRI, electrocardiogram (ECG), and complete blood count should be conducted.