In
Kawasaki's disease you get thrombocytosis in the range of 7 to 8 or even
10 lakhs especially in the 2nd week of illness. and it is not
thrombocytopenia as stated below.
Dr Unmesh Phadnis wrote:
It looks like a Kawasaki's disease. five criteria are required for its
fulfillment. these is fever, non-purulent conjunctivitis, erythematous
rash, lymphadenopathy, desquamation at finger tips, changes at oral
mucosa, edema feet, and joint swelling. however Kawasaki's disease is a
diagnosis of exclusion and all other causes of such multisystem disorder
should be ruled out such as TSS, Epstein bar virus, and other vasculitis.
leucocytosis and anemia support the diagnosis. The pt. may develop
thrombocytopenia later on. However the ESR is not elevated much. inv. to
be done are sgot, sgpt and urine routine and microscopy and 2D echo and
later if required angiography. Treatment consists of IV immunoglobulins
and aspirin. |
