Step I Kawasaki's

[ZagDoc]

FA says steroids are indicated to treat it, along with cyclophos. Goljan says steroids are c/i due to risk of vessel rupture. Anyone know what the right answer is?

 

[Tritleb]

Thought you gave nonspecific immunoglobulins

 

[alphaholic06]

I thought you gave high dose aspirin.

 

[perilou]

I thought you gave a cold compress.

 

[Tritleb]

I thought you gave high dose aspirin.

Yeah, I think both are actually part of the treatment.

 

[ZagDoc]

Yeah, I think both are actually part of the treatment.

That sounds right to me.

Then again, there are many things I think that "sound right."

 

[Depakote]

I know you give high dose asprin.

Avoiding steroids due to the risk of a vessel rupture sounds correct.

 

[MountainEM]

In real life (not sure about boards)
you give high does aspirin and IVIG. steroids are hotly debated at this point with some saying to use and others not....I think harriet lane said not to....
anyhow, it is not a sure thing to use steroids
d

 

[BoneNibbler]

In real life (not sure about boards)
you give high does aspirin and IVIG. steroids are hotly debated at this point with some saying to use and others not....I think harriet lane said not to....
anyhow, it is not a sure thing to use steroids
d

👍

 

[BoneNibbler]

FA says steroids are indicated to treat it, along with cyclophos. Goljan says steroids are c/i due to risk of vessel rupture. Anyone know what the right answer is?

Where does it say that?? Certainly not under KAWASAKI disease section in cardio. Perhaps you are reading treatment for Poly. Nodosa.😕

 

[Deferoxamine]

 

[nectarine]

do you have an old edition of FA? my FA 2009 doesn't say anything about corticosteroids under Kawasaki disease.

 

[tayyabwkhan]

Yeah FA 2009 has cyclophosphamides plus corticosteroids for Polyarteritis Nodosa.

 

[Preop]

my class notes also indicate that aspirin and IVIG are the treatment, with steriods being debateable.

 

[SupaManu]

Dr. Jenkins on the DIT videos says Aspirin as well, he said its one of the few times u give aspirin to a really young child.

 

[theophylline]

FA says steroids are indicated to treat it, along with cyclophos. Goljan says steroids are c/i due to risk of vessel rupture. Anyone know what the right answer is?

Negative.

Treatment is IVIG + Aspirin.

This is for Step 2 but since you asked.

http://www.mayoclinic.org/kawasaki/treatment.html