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Review
. 2021 Jan 25;47(1):16.
doi: 10.1186/s13052-021-00962-4.

Revised recommendations of the Italian Society of Pediatrics about the general management of Kawasaki disease

Affiliations
Review

Revised recommendations of the Italian Society of Pediatrics about the general management of Kawasaki disease

Alessandra Marchesi et al. Ital J Pediatr. .

Abstract

Aim of these revised recommendations for the general management of Kawasaki disease is to encourage its prompter recognition and warrant the most appropriate therapy, based on ascertained scientific data, raising awareness of the complications related to misdiagnosis or delayed treatment. A set of 20 synthetic operative statements is herein provided, including the definition of Kawasaki disease, its protean presentations, clinical course and seminal treatment modalities of all disease phases. The application of these recommendations should improve prognosis of Kawasaki disease and prevent the progression to permanent vascular abnormalities, thereby diminishing morbidity and mortality.

Keywords: Aspirin; Children; Coronary artery abnormalities; Intravenous immunoglobulin; Kawasaki disease.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
General Treatment of patients with KD
Fig. 2
Fig. 2
Treatment of High-Risk patients with KD. (children less than 12 months or children having C-reactive protein higher than 200 mg/l, severe anemia at disease onset, albumin level below 2.5 g/dl, liver disease, overt coronary artery aneurysms, macrophage activation syndrome or septic shock)

References

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    1. Marchesi A, Tarissi De Jacobis I, Rigante D, Rimini A, Malorni W, Corsello G, et al. Kawasaki disease: guidelines of Italian Society of Pediatrics, part II - treatment of resistant forms and cardiovascular complications, follow-up, lifestyle and prevention of cardiovascular risks. Ital J Pediatr. 2018;44:103. doi: 10.1186/s13052-018-0529-2. - DOI - PMC - PubMed
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