Diagnosis is based on companion birds cholesterol
plump asian , dr. mirkin, gallbladder disease, parrots, omega3 fatty acid , medical photograph, find information, cholesterol, medicine medline medical disease illness trauma, golden plump , omega 3 fatty acid supplements , plump sluts , colon polyps, coronary artery disease, netmedicine, plump gallery , plump plumpers galleries com , homocystinuria, plump teens , aspartate aminotransferase, irritable bowel syndrome, fatty woman , plump pics , plump chicks , In companion birds the absence of coronary artery disease, the prognosis for complete recovery is excellent. About 2/3 of coronary aneurysms regress within 1 yr, although it is unknown whether residual coronary stenosis remains. Giant coronary aneurysms (> 8 mm internal diameter on companion birds echocardiogram) are less likely to regress and require more intensive follow-up and therapy. Treatment Children with Kawasaki syndrome should be treated by or in close consultation with an experienced companion birds pediatric cardiologist or pediatric infectious disease specialist. Therapy is started as soon as possible, optimally within the first 10 days of illness, with a combination of high-dose immune globulin intravenous (IGIV--a single dose of 2 g/kg given over 10 to 12 h) and oral high-dose aspirin (80 to 100 mg/kg/day in 4 divided doses). The aspirin dose is reduced to 3 to 5 mg/kg/day as a single dose when the child becomes afebrile.
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Diagnosis is based on the clinical findings and on exclusion of other diseases. Criteria for diagnosis appear in Table 265-19. Results of cultures for bacteria and viruses, as well as serologic tests for evidence of infection, are negative but may be useful for diagnosing other illnesses with similar presentations. Differential diagnosis includes bacterial diseases (especially scarlet fever, staphylococcal exfoliative syndromes, and leptospirosis), viral exanthems (eg, measles), rickettsial disease (eg, Rocky Mountain spotted fever), toxoplasmosis, acrodynia (caused cholesterol by cholesterol mercury poisoning), Stevens-Johnson syndrome, and juvenile RA. Prognosis The mortality rate is 0.1% with adequate therapy; without cholesterol therapy, mortality may approach 1%. Deaths most commonly result from cardiac complications but can be sudden and unpredictable; > 50% occur within 1 mo of onset, 75% within 2 mo, and 95% within 6 mo but may occur as long as 10 yr later. Effective therapy reduces acute symptoms and, more importantly, reduces the incidence of coronary artery aneurysms from 20% to < 5%.
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