Guía de atención médica de la enfermedad de Kawasaki

Hernando Samuel Pinzón-Redondo, Harold Márquez-Vega, Milagro Suárez-Gómez, Angie Donmínguez-Campo, Divis Becerra-Poveda, Doris Bula-Anichiarico

Resumen


La enfermedad de Kawasaki (EK) es la causa más frecuente de cardiopatía adquirida en la población pediátrica, y eso la convierte en un motivo importante de consulta en los servicios de urgencia. La presente guía de manejo fue elaborada con el objeto de describir, aclarar y unificar conceptos sobre la EK con respecto al diagnóstico, tratamiento y seguimiento de aquellos pacientes que consulten por esta patología. Además, se busca incentivar la aplicación de puntajes predictivos de refractariedad a la inmunoglobulina intravenosa, teniendo en cuenta el algoritmo propuesto, que va desde la sospecha diagnóstica hasta el seguimiento posterior al egreso hospitalario. Rev. Cienc.Biomed. 2016;7(2):328-342.

PALABRAS CLAVE

Síndrome mucocutáneo linfonodular; Vasculítis; Enfermedad coronaria.

SUMMARY:

Kawasaki disease is the most frequent cause of acquired heart diseases in pediatric population and that makes it an important motive of consultation in emergency services. This medical care guide was carried out with the purpose of describing, clarifying and unifying concepts about Kawasaki disease regarding the diagnosis, treatment and follow up of those patients that consulted the hospital for this pathology.

Also, it is sought to encourage the application of predictive refractoriness scores to intravenous immunoglobulin, taking into account the proposed algorithm, ranging from diagnostic suspicion to follow-up after hospital discharge. Rev.Cienc.Biomed. 2016;7(2):328-342.

KEYWORDS

Mucocutaneous lymphnode Syndrome; Vasculitis; Coronary disease.


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