Guidelines for medical treatment of acute Kawasaki disease: report of the Research Committee of the Japanese Society of Pediatric Cardiology and Cardiac Surgery (2012 revised version).
نویسنده
چکیده
The primary purpose of practical guidelines is to contribute to timely and appropriate diagnosis and treatment of a given disease or condition, in addition to providing current medical information on pathogenesis and treatment, as determined by specialists in the field. Guidelines, however, should not be considered procedure manuals that limit the treatment options of practitioners, because treatment modalities other than those recommended in such guidelines are often required. Such treatment choices are the result of comprehensive analysis of all medical circumstances, including patient condition, treatment option, and disease severity. Furthermore, certain drugs shown to be useful in studies conducted in other countries may not yet have been approved for use here in Japan. The results of clinical research (including randomized controlled trials) must be verified in subsequent research, and the safety and effectiveness of a particular treatment may take several months to confirm.
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Kawasaki disease is an acute inflammatory disorder of medium-sized arteries that predominantly affects cardiac coronary arteries and children under the age of 5 years. Cardiac involvement usually happens later than 10 days after the onset of illness. Most of cardiac complications are coronary artery abnormalities (ectasia or aneurysms) and subclinical myocarditis. Clinical myocarditis (symptoma...
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Introduction: Kawasaki disease is an acute, systemic vacuity that predominantly manifests in infants and young children. Severe systemic inflammation and vacuities can cause cardiovascular involvement, particularly coronary artery injury that includes dilatation or aneurysm. The final goal of treatment for acute Kawasaki disease، therefore، is to diminish systemic inflammation and vacuities a...
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متن کاملGuidelines for diagnosis and management of cardiovascular sequelae in Kawasaki disease (JCS 2008)--digest version.
Introduction of the Revised Guidelines································2 I Current epidemiology of Kawasaki disease, and advancement in and topics related to acute phase treatment··········································································5 · 1·· Current·epidemiology·of·Kawasaki·disease·················5 · 2·· Mortality·and·prognosis·of·patients·with· · · Kawasaki·disease··········...
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Background: Cardiac involvement was the major leading cause of death in patients with Kawasaki and IVIG administration reduces cardiac complications. The objective of this study was to determine the frequency of cardiovascular complications and duration of fever with regard to the time of intravenous immunoglobulin (IVIG) administration of patients with Kawasaki disease. Methods: This follow...
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عنوان ژورنال:
- Pediatrics international : official journal of the Japan Pediatric Society
دوره 56 2 شماره
صفحات -
تاریخ انتشار 2014