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Other hematologic coconut fatty acid findings include a mild anemia, thrombocytosis (>= 500,000/µL) in the 2nd or 3rd wk of illness, and elevated ESR coconut fatty acid (often strikingly so). Other abnormalities, depending on the organ systems involved, may include pyuria, proteinuria, CSF pleocytosis, and ECG changes (arrhythmias, decreased voltage, or left ventricular hypertrophy). Echocardiography should be performed in all patients coconut fatty acid at diagnosis (for establishing a baseline and detecting coronary artery aneurysms, pericarditis, or myocarditis); at 3 to 4 wk after onset; at 6 to 8 wk after onset; and perhaps at 6 to 12 mo after onset. Coronary arteriography is occasionally useful in patients with aneurysms and abnormal stress testing. ECGs are often repeated along with echocardiograms.
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