DOI: No DOI assigned
Professor Brig Gen Nurun Nahar Fatema
Recently we are getting significant number of cases in our noninvasive Echocardiography laboratory for checking cardiovascular changes specially coronary artery changes in Kawasaki disease. So every practitioner specially pediatrician must have some idea on Kawasaki discase Kawasaki disease (KD) is an acute self-limiting inflammatory disease associated with vasculities, affecting predominantly medium sized vessels. The most concerning complication is coronary artery aneurysm (CAA) leading to myocardial infarction (MI) or sudden death. KD is the only cause of MI in children Fever is the essential feature. Kawasaki disease is invariably associated with an inflammatory process with elevated C roactive protein (CRP), erythrocyte sedimentation rate (ESR) and white blood cell count (WBC). Early recognition and treatment with IVIG (Intravenous venous immunoglobulin), and Aspirin showed highest protection ainst development of coronary artery disease thcidence of KD is more in East Asia or in Asian ancestry living in other countries. The reason for high incidence in developing country is still unknown. Recently a significant number of cases attended in day to day pediatric practice in out patient department.