[Long-term follow up of Kawasaki disease].
For the follow up of the patients with Kawasaki disease, it is important to know the patient's condition in acute stage. For this purpose, there is a card named "Kawasaki disease acute stage card". This card is available at the following site, although it is written in Japanese. http://www.kawasaki-disease.org/tebiki/card.html The cases of no coronary aneurysm and the cases, in whom the coronary aneurysm regressed to normal in 30 days, should be checked at one month, two months, six months, one year and five years after acute stage, using echocardiography and ECG and stress ECG if feasible. For this group, aspirin is not necessary during follow up, and restriction of physical exercise is not required. Regression of aneurysm should be confirmed by coronary angiography, as echocardiography is not sufficient for confirmation. The cases with remaining aneurysm should be assessed for possible stenosis and ischemia, using angiography and/or other imaging methods, including MRI, multi-slice CT, cardiac scintigraphy and other methods. These patients are supposed to be followed by pediatric cardiac specialists.
Yanagawa
Yukishige
Y
Department of Pediatrics, Teikyo University School of Medicine.
D003327:Coronary Disease / Q000175:diagnosis; D003952:Diagnostic Imaging; D004562:Electrocardiography; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000628:therapy*