What are the routine examination items for Kawasaki disease?

What are the routine examination items for Kawasaki disease?

Many friends often suffer from many diseases because they do not pay attention to some details of their health. Take Kawasaki disease for example. Many people may not have heard of it, but the harm of this disease is very serious. So what are the routine examination items for Kawasaki disease? Let me introduce them to you below.

Common inspection methods include:

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, and 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, and 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.

Understand what tests are needed if you suspect Kawasaki disease so that you can get a timely check-up and diagnose and treat the disease. After reading the above content, everyone should be clear about it. If similar symptoms occur, you must get checked as soon as possible.

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