Step I Aspirin for Kawasaki disease?

[NeedToStudy]

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So it says in Pathoma that Kawasaki disease is treated with aspirin. Isn't aspirin harmful for children though, considering that the disease happens in children less than 4 years of age? Also why is Intravenous Immunoglobulin G used to treat Kawasaki disease along with aspirin? It doesn't really explain that in Pathoma.

 

[dfib slim]

You give ASA for it's anti-inflammatory as well as it's anti-platelet effect. The platelet number can reach upwards of a million in these patients. ASA is harmful to children if they have a viral infection such as influenza and VZV which can result in Reye syndrome.

The IVIG is given to suppress the immune system.

Check out these articles

http://www.aafp.org/afp/2006/1001/p1141.html

http://emedicine.medscape.com/article/210367-overview

 

[aspiringmd1015]

like he said aspirins only hamful if the patient has a viral infection, in which the symptoms of kawaski's can resemble a viral infection, but bc of the risk of coronary thrombosis, you must give aspirin to prevent this

 

[syoung]

So it says in Pathoma that Kawasaki disease is treated with aspirin. Isn't aspirin harmful for children though, considering that the disease happens in children less than 4 years of age? Also why is Intravenous Immunoglobulin G used to treat Kawasaki disease along with aspirin? It doesn't really explain that in Pathoma.

every rule has an exception

 

[seminoma]

So it says in Pathoma that Kawasaki disease is treated with aspirin. Isn't aspirin harmful for children though, considering that the disease happens in children less than 4 years of age? Also why is Intravenous Immunoglobulin G used to treat Kawasaki disease along with aspirin? It doesn't really explain that in Pathoma.

This is exactly why it's super HY to know ASA treatment for Kawasaki's. Everyone will incorrectly think it's a viral illness and eliminate ASA as an answer.

 

[NeedToStudy]

Ok. I wasn't aware that aspirin was only contraindicated if the child has a viral illness. I thought it was always contraindicated.

 

[dfib slim]

In what other condition would you treat a child with ASA?

 

[NeedToStudy]

In what other condition would you treat a child with ASA?

I don't know! Other diseases that cause thrombosis?

 

[dfib slim]

I don't know! Other diseases that cause thrombosis?

Lol, it wasn't directed at you.

Acute rheumatic fever is another.