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Overview

Kawasaki Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Mucocutaneous Lymph Node Syndrome

How is the treatment done?

Kawasaki disease refers to the inflammation in the blood vessels which primarily affects the coronary arteries supplying blood to the heart. It also affects the lymph nodes, skin and the mucous membrane inside your mouth, throat and nose. This disease is mostly seen among children, and is non-contagious in nature. It does not spread from one person to another. However, the factors leading to Kawasaki are still not known.

The initial symptoms of Kawasaki disease include high fever lasting more than 5 days, swollen lymph nodes in the neck, rashes in the genital area, swollen feet and palms, red eyes and tongue, cracked lips. The next stage of the disease shows symptoms such as joint pain, vomiting, pain in the abdomen, diarrhea, and peeling of the skin on your finger tips and toes. In the third stage, the signs and symptoms gradually fade away unless complications develop.

Diagnosis of Kawasaki disease is quite hard because there are no specific laboratory tests to detect its cause. It can only be detected by medical signs and symptoms. People are advised to consult a doctor in case of high and lasting fever or swollen lymph nodes, feet and palms, red eyes and tongue, pain in the joints and abdomen. The doctor usually performs a few physical examinations and accordingly prescribes certain drugs and medication. Intravenous Immunoglobulin (IVIG) is the standard treatment for Kawasaki. It is injected through the veins to reduce the inflammation in the blood vessel. Usually marked improvement is noted in the health condition within a day of administering high dose of IVIG. Other medications involve use of aspirin like Salicylate which helps in lowering the risk of blood clot and reduces pain and fever.

Who is eligible for the treatment? (When is the treatment done?)

Diagnosis of Kawasaki disease is quite hard because there are no specific laboratory tests to detect its cause. It can only be detected by medical signs and symptoms. People are advised to consult a doctor in case of high and lasting fever or swollen lymph nodes, feet and palms, red eyes and tongue, pain in the joints and abdomen. The doctor usually performs a few physical examinations and accordingly prescribes certain drugs and medication. Kawasaki disease may lead to serious complications if not treated on time. After diagnosis the doctor recommends the following treatment procedures: Aspirin- depending on the signs and symptoms of disease, the doctor usually prescribes an aspirin which helps to ease the pain and fever, prevents blood clotting and reduces swelling; Intravenous Immunoglobulin- it is a solution of antibodies injected through the veins. It is the most effective treatment for this disease which reduces fever and the risk of heart problems. Usually marked improvement is noted in the health condition within a day of administering high dose of IVIG; Corticosteroids- this contains hormones which are powerful chemicals largely affecting the body. Although the results of using this drug have been inconsistent, it is recommended if the second dose of IVIG fails to improve your health condition.

Who is not eligible for the treatment?

Kawasaki disease is most common among children below 5 years of age. Anybody showing signs and symptoms of the disease such as high fever lasting over 5 days, swollen lymph nodes in the neck, rashes in the genital area, swollen feet and palms, red eyes and tongue, cracked lips, joint pain, vomiting, pain in the abdomen, diarrhea, and peeling of the skin on your finger tips and toes, are eligible for the treatment. People are recommended to consult a doctor as early as possible because treating the disease within 10 days of its onset normally reduces the chances of complication.

Are there any side effects?

People who do not show symptoms of Kawasaki disease need not undergo any treatment.

What are the post-treatment guidelines?

Treatment of Kawasaki disease leaves behind quite a few side effects: Excessive use or overdose of aspirin may lead to Reye Syndrome among children resulting in serious liver and brain damage. If the patient is suffering from chicken pox or influenza, aspirin should be used as per the doctor’s prescription. If not treated on time, Kawasaki disease often leads to serious damage in the coronary arteries and heart problems. IVIG treatment may lead to allergies and aseptic meningitis.

How long does it take to recover?

Post treatment guidelines for Kawasaki disease include taking prescribed medication on time, regular follow ups with the doctor in order to keep a check on your health condition, performing an ECG to monitor the condition of your heart.

What is the price of the treatment in India?

Recovery from Kawasaki disease usually takes a few weeks. If the condition is treated on time and proper medication be followed, it may take around 6 weeks to recover.

Are the results of the treatment permanent?

The cost for treatment of Kawasaki disease roughly varies between Rs.15,000- Rs.50,000. 5 gram vial of Intravenous Immunoglobulin (IVIG), which is considered the standard therapy for this treatment, usually costs Rs.16,000.

What are the alternatives to the treatment?

Treatment of Kawasaki disease usually yields permanent results within 6-8 weeks of recovery. However, in some cases where the disease has not been diagnosed in its initial stage, it may lead to complications related to coronary artery damage and heart ailments. People showing symptoms of the disease must consult a doctor as early as possible because treating the disease within 10 days of its onset normally reduces the chances of complication. The patient is therefore advised frequent follow ups with the doctor after the treatment.

Popular Questions & Answers

My father has been diagnosed with mild ild. He is having cough. Pulmonologist had prescribed pirfenex cipla tablet. Recently changed to acebrophylline 100 mg. Please let me know what should be the correct medicine for mild ild. How to control the cough? Are there any trials or cures better in homeopathy? Any advice? Please help. Other medications that he is taking is: 1. deriphyllin 150 2. complex 3. Multivitamin.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Pulmonary Medicine
Pulmonologist, Bangalore
Mr. lybrate-user, pirfefenidone is the main drug for ild if its ipf form. Acebrophylline is not useful in ild. There are few cough syrups that wil help to reduce it.
1 person found this helpful

My mother in law is suffering from ra induced ild for last 5 years and is currently on steroids. She is frequently having fevers and pain on chest and has extreme loss of appetite. Can her disease be cured or at least controlled by homeopathy. Give doctor's address near hooghly.

MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Shimla
I am sorry to hear about your concern but will be happy to assist you. Interstitial lung disease (ild) is a progressive fibrotic disease of the lung parenchyma. Occurring in association with several connective tissue diseases, it is the commonest ...

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