Symptoms of a relapse of Kawasaki disease

Although the recurrence rate of Kawasaki disease is very low, only one percent, once it recurs, the treatment becomes more difficult and will have greater health effects on the child. Therefore, whether during the treatment of Kawasaki disease or after the treatment, parents must take reasonable measures to care for their children to avoid recurrence of Kawasaki disease!

1. What are the symptoms of Kawasaki disease recurrence?

There is a possibility of recurrence of Zakirsu disease, and this disease is a pediatric disease based on the principle of systemic vasculitis. It can generally be treated with Western medicine, but more attention should be paid to care after treatment, especially some foods that should not be eaten must not be eaten. Only with good care will the disease not recur. If the care is not good, the disease may recur.

The main manifestation of recurrence of Kawasaki disease is fever lasting more than 5 days, and antibiotic treatment is ineffective; in the early stage of acute fever, the skin of the hands and feet is hard and edematous, and the finger (toe) tips are peeling; at the same time as the fever or shortly after the fever, a polymorphic rash can be seen on the skin of the whole body, without blisters or crusts; conjunctival congestion of both eyes, but without purulent secretions or tears, which lasts for the entire fever period or longer; diffuse congestion of the oral mucosa, red and dry lips, chapped, bleeding or crusted, and the tongue papillae are protruding and resemble a bayberry tongue; enlarged lymph nodes in the neck, etc. Anyone who has the above six symptoms can be diagnosed with Kawasaki disease. Some children only have some of the above symptoms and are diagnosed with atypical Kawasaki disease. Consider hospitalization during the acute phase.

2. Pathology

The basic pathological changes of this disease can be divided into four stages:

1. Stage I: The course of the disease is 1 to 9 days. Acute inflammatory changes occur around the arterioles. The small nutrient arteries and veins on the walls of the main branches of the coronary arteries are invaded. At the same time, inflammatory reactions can be seen in the pericardium, myocardial interstitium and endocardium, with infiltration of neutrophils, eosinophils and lymphocytes.

2. Stage II: The course of the disease is 10 to 21 days. The whole-thickness vasculitis of medium-sized arteries such as coronary arteries, including the intima, media and adventitia, is infiltrated by inflammatory cells, accompanied by necrosis and edema, rupture of elastic fibers and muscle layer, and formation of thrombus and aneurysm.

3. Stage III: The course of the disease is 28 to 31 days. Arterial inflammation gradually subsides, thrombi and granulations are formed, fibrous tissue proliferates, and the intima thickens significantly, leading to partial or complete blockage of the coronary artery.

4. Stage IV: It can last for several years. The lesions gradually heal, myocardial scarring forms, and blocked arteries may reopen.

3. Nursing

1. Medication guidance

(1) Observe whether there is bleeding tendency during taking aspirin.

(2) Observe whether there is any allergic reaction to the infusion of immunoglobulin G.

2. Life guidance

(1) Maintain normal body temperature and be alert to the occurrence of febrile convulsions.

(2) During the acute phase, patients should stay in bed and maintain a comfortable environment.

(3) Keep the skin clean. Wash the child's skin every day without using soap. Wear soft and clean clothes and change clothes and bedding frequently.

(4) Cut the nails short to prevent the child from scratching the skin. Do not tear off the dandruff, but use sterile scissors to cut it off.

(5) Observe the condition of the oral mucosa, take good care of the oral cavity, and lubricate the lips for those with dry or chapped lips.

(6) Pay attention to eye hygiene to prevent infection.