Kawasaki disease peeling symptoms

Written by Li Jiao Yan
Neonatology
Updated on November 26, 2024
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Kawasaki disease is a disease with unclear etiology and unclear pathogenesis of the autoimmune system. Its main pathological change is systemic vasculitis, commonly occurring in the coronary arteries. At the onset, symptoms in the hands and feet include stiff swelling and erythema during the acute phase. In the recovery phase, membranous peeling occurs at the junction of the skin and the nail base of fingers and toes, and there are transverse grooves in the nails. In severe cases, the nails of the fingers and toes may also fall off. Additionally, its skin manifestations include polymorphic skin plaques and scarlet fever-like rashes, which commonly appear in the first week of the disease, with redness and peeling of the skin around the anus.

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

Does Kawasaki disease rash itch?

Kawasaki disease, once called mucocutaneous lymph node syndrome, is a disease of unknown cause and unclear pathogenesis. It is characterized by systemic vasculitis. Clinically, it mainly presents with fever, conjunctival congestion, cracked lips, congested oral mucosa, diffuse congestion, strawberry tongue, acute stage swelling and erythema of the hands and feet, polymorphous rash, and scarlet fever-like skin rash. It is often associated with unilateral or bilateral lymphadenopathy, which is not red on the surface, but the lymph nodes are hard and tender to the touch. It frequently involves complications such as myocarditis or pericarditis, with common coronary artery damage. The rash seen in Kawasaki disease is a manifestation of vasculitis and is generally non-itchy.

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Written by Yao Li Qin
Pediatrics
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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.

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Written by Li Jiao Yan
Neonatology
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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.

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Written by Li Jiao Yan
Neonatology
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Is the spirit of Kawasaki disease good?

Kawasaki disease, also known as mucocutaneous lymph node syndrome, has an unclear cause and is generally prevalent in infants and young children, with 80% of cases occurring in children under five years old. The mechanism of the disease is also not very clear. Its main pathological presentation is systemic vasculitis, often involving the coronary arteries. The primary clinical symptoms include high fever, which is unresponsive to antibiotic treatment, conjunctival congestion, diffuse oral congestion, strawberry tongue, indurative edema of the hands and feet, and palmoplantar erythema. Additionally, it may affect the heart, leading to conditions such as pericarditis, myocarditis, endocarditis, and arrhythmias. During the acute phase of Kawasaki disease, the high fever and diffuse oral mucosal congestion can affect the child's mental state. If the heart is involved, there may be abnormalities in heart rate and heart function, which can also lead to a poor mental state. Therefore, if Kawasaki disease is confirmed, it definitely requires active treatment.

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Written by Li Jiao Yan
Neonatology
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Is Kawasaki disease contagious?

Kawasaki disease, also known as mucocutaneous lymph node syndrome, currently has unclear pathogenic mechanisms and the causes of the disease are not well defined. One of its main pathological changes is systemic vasculitis, including the coronary arteries. The disease occurs sporadically or in small epidemics, can happen in any season without clear seasonality, and is generally more common in infants and young children, with eighty percent under five years of age. Kawasaki disease is not a contagious disease, so it does not have significant contagiousness.