Question
A 6-year-old boy has been diagnosed to have Kawasaki disease on day 6 of illness, ECHO was performed and was within normal limits. How do you treat this child:
A. |
low dose ( 3-6mg/kg/day) aspirin + IVIG
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B. |
High dose(50-75mg/kg/day) aspirin + IVIG
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C. |
Methylprednisolone + IVIG
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D. |
IVIG + symptomatic management
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Show Answer
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Correct Answer � B
Explanation
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Ans. B. High dose(50-75mg/kg/day) aspirin + IVIG
After the diagnosis of Kawasaki disease is made, an ECHO is performed to rule out coronary artery aneurysms. A single dose IVIG is commenced as soon as possible ( 2gm/kg) and aspirin at an anti-inflammatory dose( @50-80mg/kg/day) till the fever subsides, and then a low dose antiplatelet regime (@3-6mg/kg day)of aspirin can be started.
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