Kawasaki Disease - Pediatric Oncall

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Question Category : Kawasaki Disease
5YR Female referred to h/o fever 20n days,rash 20 days,peeling of palm and sole skin 8days,no lymphadenopathy, i kept the possibility? scarlet fever /??kawasaki disease.ECHO turn out coronary aneurism,started immunoglobin and aspirin,would it help at this stge also Check Out the Answer
Question Category : Kawasaki Disease
My 9 year old daughter has been diagnosed and treated for Kawasaki syndrome a few weeks ago, but she continues to struggle with recurrent fevers, abdominal discomfort, and abnormal blood tests. Recent blood work showed: ESR=122, SGOT(AST)=44, GGT=63, SGPT(ALT)=120, Billurubin=0.4, and Lipase=304. Although she had many classic signs of Kawasaki (fever, rash, peeling skin, swollen glands, jaundice), they question this diagnosis on the severe liver dysfunction, return of fever, severe abdominal pain, and nature of her blood work. She continues to have a high fever, and abnormal blood work that indicates inflammation. They now believe she has some other systemic cause of inflammation (irritable bowel syndrome, crohn's, JRA), but they're casting about. She has have an Upper GI w / follow-through but I sense her team doubts anything will be found. She is NOT having digestive difficulty. She also had an unexplained 8-day fever about 8 months ago that could be related, but we're just not sure. Your thoughts on the approach to diagnosis or the causes would be appreciated. Thanks. Check Out the Answer

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