Is IgE high in Kawasaki disease?

Written by Li Jiao Yan
Neonatology
Updated on September 11, 2024
00:00
00:00

Kawasaki disease, also known as mucocutaneous lymph node syndrome, has an unclear pathogenesis. It is speculated that certain components of infectious sources, such as superantigens, can activate CD30 T cells and CD40 ligand expression directly by binding with T cell antigen receptor fragments without going through mononuclear macrophages. Under the induction of carrier cells, there is polyclonal activation and reduced apoptosis of B08 cells, resulting in the production of large amounts of immunoglobulins such as IgG, IgM, IgA, and IgE, and cytokines. Therefore, the IgE levels in Kawasaki disease are elevated.

Other Voices

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
52sec home-news-image

What should not be eaten with Kawasaki disease?

One of the main pathological changes in Kawasaki disease is systemic vasculitis. Clinically, common symptoms include fever, high fever, recurrent fever, conjunctival congestion, significant oral mucosal congestion, strawberry tongue, enlargement of neck lymph nodes, and peeling of the hands and feet. In cases of Kawasaki disease, oral mucosal congestion is a common complication, hence during the period of Kawasaki disease, it is advised not to consume irritating, spicy, or hot foods. These might exacerbate the child's discomfort, affect their nutrient absorption, and potentially worsen the condition. Therefore, during the illness, it is preferable to focus on bland, easy-to-digest foods.

doctor image
home-news-image
Written by Yao Li Qin
Pediatrics
46sec home-news-image

Kawasaki disease incubation period

Kawasaki disease, also known as mucocutaneous lymph node syndrome, is a common pediatric fever and rash illness, primarily a systemic small vessel vasculitis. Kawasaki disease is not contagious, so it has no incubation period; only infectious diseases have incubation periods. If it were contagious, typical manifestations would include persistent high fever, pinpoint appearances around the eyes and mouth, typical rash, swelling of the hands and feet, and non-purulent swelling of the cervical lymph nodes. Therefore, Kawasaki disease has no incubation period and is a vasculitis mediated by immune mechanisms.

doctor image
home-news-image
Written by Yao Li Qin
Pediatrics
58sec home-news-image

Is Kawasaki disease prone to recurrence?

Kawasaki disease is a common pediatric febrile, rash-causing illness, and once diagnosed, treatment must begin actively. Most cases of Kawasaki disease have a very good prognosis with standard treatment, but about 5% of children may experience temporary coronary artery abnormalities, and the recurrence rate of Kawasaki disease can reach 1% to 3%. Therefore, once a child is diagnosed with Kawasaki disease, it is essential to conduct follow-up throughout the treatment process. Follow-ups should be done at three months, six months, and one year after the onset of the disease in new cases. The purpose of the follow-up is mainly to assess the child's prognosis and evaluate the coronary arteries to see if there is any recurrence, so this follow-up work is very important.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
52sec home-news-image

Does Kawasaki disease cause coughing?

Kawasaki disease has an unclear pathogenesis, primarily manifesting as systemic vasculitis, frequently affecting the coronary arteries. Clinically, it is characterized by fever, typically a high fever lasting seven to fourteen days, and is unresponsive to antibiotic treatment. Other symptoms include conjunctival congestion, cracked lips, diffuse oral congestion, and strawberry tongue. In the acute phase, there might be hard edema and erythema development, with polymorphous erythema and scarlatiniform rash typically on the trunk. Additionally, unilateral or bilateral cervical lymphadenopathy with tenderness can occur. Generally, coughing is rare and may be due to other infections like upper respiratory infections in children with weaker immunity.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
1min home-news-image

Why do children get Kawasaki disease?

Kawasaki disease has an unclear pathogenesis. It is speculated that it may be related to infections by microorganisms or other pathogens, familial genetic susceptibility, or autoimmune functions. Currently, the entire medical history is unclear, and there is no specific epidemiology identified for the onset of the disease; it can occur in any of the four seasons. The disease primarily affects infants and young children, with about 80% of cases occurring in children under five years of age. The ratio of male to female incidence is approximately 1.5:1. Thus, Kawasaki disease is most commonly seen in infants and young children. Currently, there is no definitive explanation for the mechanism of the disease.