Kawasaki syndrome is an autoimmune childhood disease characterized by prolonged fever, of varying severity (it can also cause a heart attack).
In Bergamo, it exploded with impressive power and frequency: in just two months from the outbreak of the epidemic, there would have been as many patients as children or teenagers than on average over several years. Same goes for England but a correlation between the Coronavirus and the Kawasaki syndrome has not yet been demonstrated. In a month there were 10 cases, when in a month there are usually 3 cases and this data cannot be ignored. There Kawasaki disease it is a systemic vasculitis (in other words it is an inflammation of the blood vessels) that is observed only in the pediatric age and mainly affects younger children starting from those still in the cradle.
Kawasaki syndrome: symptoms and treatment
Symptoms of Kawasaki syndrome are quite common: prolonged fever, exanthema, conjunctivitis, mucositis, lymphadenopathy cervical and polyarthritis: the course is variable but if diagnosed in time with the intervention of specialists, it can be cured by reducing the numbers linked to mortality. Usually begins with temperature often above 38 ° C, with variable gait over a month. As the temperature rises, the eyes turn red, without however secretions. Within 5 days, ared rash, often uneven; in many cases it resembles measles or rubella. The child also experiences throat problems, split, red and dry lips, strawberry red tongue. Hands and feet begin to swell and the lymph nodes in the neck are frequently enlarged and not very painful. The disease can last from 2 to 12 weeks or more. In severe cases it can lead to a myocardial infarction. Coronary artery inflammation with dilation and aneurysm formation occurs in 5-20% of all cases.
The treatment consists of a single cycle of intravenous immunoglobulins and aspirin: the difference in the treatment of the disease is the diagnosis so the advice is to take the children to the pediatrician at the first appearance of the symptoms listed above. If started during the acute phase of the disease, treatment reduces the frequency of coronary artery injury to less than 5%. Despite interesting data related to Covid-19 it is not yet clear how the two pathologies can be linked, that's why the Rheumatology Study Group of the Italian Society of Pediatrics has decided to alert the Italian pediatric community about the possible onset of Kawasaki disease in children with Covid-19 and promote data collection to investigate the phenomenon and come to an explanation soon. Only time will be able to answer the numerous questions on the subject.
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