Kawasaki disease Diagnosis

Kawasaki disease can be diagnosed by some tests, the manifestation as follow:

Blood examination show that the total number of leukocyte and neutrophil percentage increased, nuclear left in acute phase of Kawasaki disease. Shows that the majority of patients with mild anemia. Blood sedimentation is obviously faster, the first for more than 1 hour and up to 100mm. Serum albumin globulin increases, particularly a significant increase in α2 globulin. Reduced albumin. IgG, IgA, IgA increased. Platelets in the first two weeks started to increase. Blood was hypercoagulability. Anti-streptolysin O titer normal. Rheumatoid factor and anti-nuclear bodies were negative. C-reactive protein increased. Serum complement normal or slightly higher. Sediment can be seen leukocytosis and / or proteinuria.

ECG show a variety of changes, mainly ST segment and T wave abnormalities, other show PR, QR interval prolongation, abnormal Q eave or cardiac rhythm disorder. Two-dimensional echocardiography for cardiac examination, can be found in a variety of cardiovascular diseases such as pericardial effusion, left ventricular enlargement, mitral regurgitation and coronary artery ectasia or aneurysm formation. The best in the course of acute and subacute period of 1 week inspection, monitoring of coronary artery aneurysm is the most reliable noninvasive method of examination. In the case of aseptic meningitis, cerebrospinal fluid lymphocytes can be as high as 50 ~ 70/mm3. Some cases can be seen or serum bilirubin higher alanine aminotransferase. Bacterial culture and virus isolation results were negative.