What tests are needed for Kawasaki disease

What examinations are needed for Kawasaki disease? This question troubles many parents of children with the disease. Because they don’t know how to check, they delay the treatment of their children. Therefore, we have brought you some introductions. We hope that the examination methods and traditional Chinese medicine treatment methods of Kawasaki disease we will explain to you today will be helpful and inspiring to you. Please see the introduction below.

How to diagnose Kawasaki disease

1. Blood test: White blood cell count increased, mainly neutrophils with left-shifted nuclei, mild anemia. Platelets began to increase in the second week. Erythrocyte sedimentation rate increased significantly, reaching more than 100 mm in the first hour. Serum protein electrophoresis showed increased globulin, especially α2 globulin. Albumin decreased. Serum transaminase increased.

2. Immunological examination: serum IgG, IgM, IgA, IgE and blood circulating immune complexes are elevated; TH2 cytokines are significantly elevated. C-reactive protein is elevated. Serum complement is normal or slightly elevated. Urine sediment shows leukocytosis and/or proteinuria.

3. Electrocardiogram: Non-specific ST-T changes are shown in the early stage; in pericarditis, there may be extensive ST segment elevation and low voltage; in myocardial infarction, the ST segment is significantly elevated, T wave inversion and abnormal Q wave are present, and PR and QR interval prolongation may also be shown.

4. Chest X-ray: It may show that the lung texture is increased and blurred or there are flake-like shadows, and the cardiac shadow may be enlarged.

5. Echocardiography: In the acute phase, pericardial effusion, enlarged left ventricular internal diameter, bicuspid aortic valve or tricuspid valve regurgitation may be seen; there may be coronary artery abnormalities such as coronary artery dilatation (diameter >3mm≤4mm is mild; 4-7mm is moderate), coronary artery aneurysm (≥8mm), and coronary artery stenosis.

Traditional Chinese Medicine Treatment for Kawasaki Disease

1. For patients with sudden onset, persistent high fever, no aversion to cold, or slight aversion to wind, thirst and thirst, no sweating, cough, red eyes and throat, flushed palms and soles, initial rash on face and trunk, swollen lymph nodes in neck, loss of appetite, red tongue, thin white fur, and floating pulse, it is necessary to dispel wind and heat, expel evil and detoxify.

[Prescription] Yinqiao powder with modifications: 12g each of honeysuckle and forsythia, 7g of mint, 12g each of burdock, Scrophularia, Indigo, and reed root, and 7g of raw licorice. For flushing of the palms and soles, add raw rehmannia and scutellaria; for swollen lymph nodes in the neck, add Fritillaria cirrhosa and goat milk root; for those with high fever, add raw gypsum.

2. For symptoms of persistent high fever, mild during the day and severe at night, restlessness, or drowsiness, skin rashes, red throat and eyes, dry and cracked lips (oral mucosal congestion, conjunctival congestion), swollen lymph nodes in the neck, or swollen and painful joints, hard and swollen hands and feet, peeling, red tongue shaped like bayberry, thin fur, and strong pulse, it is necessary to clear the Qi and cool the Ying, detoxify and protect the Yin.

[Prescription] Qingwen Baiduyin with modifications, 30g of buffalo horn (pre-decocted), 6-12g each of raw rehmannia root, moutan bark, scrophularia, anemarrhena, honeysuckle, forsythia, scutellaria, and coptis root, 12-16g of raw gypsum, and 7g of light bamboo leaf. If there are still symptoms of the exterior, increase the dosage of honeysuckle and forsythia. If the yin fluid has been depleted, add fresh dendrobium, ophiopogon, and radix trichosanthis. If there are also symptoms of excess in the viscera, use raw rhubarb to clear the bowels. In addition, Qingying Decoction, Huaban Decoction, Xijiao Dihuang Decoction, etc. can also be used at this stage.

Above we introduced the Traditional Chinese Medicine treatment methods and examination methods for Kawasaki disease. This knowledge is very important to the health of children. I hope parents can pay attention to this article. Only when parents have mastered this can they know what to use to help their children with treatment in life.