National consensus on the cardiological treatment and follow-up of Kawasaki disease
Kawasaki disease is a self-limiting acute vasculitis that affects small and medium-sized vessels, and is the most common cause of acquired heart disease in children in our environment. Up to 25% of untreated patients develop coronary aneurysms. It is suspected that an infectious agent may be the tri...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2018 |
| País: | España |
| Recursos: | Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| Repositorio: | r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| OAI Identifier: | oai:isabial.fundanetsuite.com:p8033 |
| Acesso em linha: | https://isabial.portalinvestigacion.com/publicaciones8033 |
| Access Level: | acceso abierto |
| Palavra-chave: | Kawasaki disease Mucocutaneous lymphnode syndrome Vasculitis Arteritis Coronary aneurysm Coronary vessels Aneurysm Immunoglobulins intravenous Steroids Consensus |
| id |
ES_cd93e1580dc7babda39edf1517490f01 |
|---|---|
| oai_identifier_str |
oai:isabial.fundanetsuite.com:p8033 |
| network_acronym_str |
ES |
| network_name_str |
España |
| repository_id_str |
|
| dc.title.none.fl_str_mv |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| title |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| spellingShingle |
National consensus on the cardiological treatment and follow-up of Kawasaki disease Sombrero, HR Kawasaki disease Mucocutaneous lymphnode syndrome Vasculitis Arteritis Coronary aneurysm Coronary vessels Aneurysm Immunoglobulins intravenous Steroids Consensus |
| title_short |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| title_full |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| title_fullStr |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| title_full_unstemmed |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| title_sort |
National consensus on the cardiological treatment and follow-up of Kawasaki disease |
| dc.creator.none.fl_str_mv |
Sombrero, HR Fernandez-Cooke, E Sanchez-Manubens, J Picarzo, JPL de la Torre, LA Alvarez-Fuente, M Garcia, GG Gutierrez-Larraya, F Vazquez, BT McMullan, PD Perez, GA Arboledas, FJA Martin, CA Echauri, JA Garcia, PA Arevalo, P Rofes, AA Sanchez, MA Domingo, EJB Rodrigo, AB Abbona, MSB Fernandez, IB Tascon, AB Torralva, CMB Jover, EB Rodriguez, CB Trigo, SB Sayago, MJB Diaz, MJC Tejedor, MTC Moreno, JIC Blesa, CC Bellon, JMC Cassanello, MP Malfaz, FC Spoturno, ACC Hernandez, RC Orvay, JAC Marcos, DC Manotas, HAC Peiro, VC de Caro, AP Cancho, MD Iglesias, LAD Bronte, LD Menendez, BD Megias, LD Tomas, JJD Colina, PD Garcia, OD Garrido, MND Manzano, PD Bedoya, JD Espinosa, JE Nava, FEE Pinela, HDE Asenjo, ME Ruiz, APF Aracama, JF Sarabia, JF Soria, MTF Suarez, NF Belda, AF Villar, SF Garcia, JF Moure, AF de Vinuesa, APGG Arzoz, MG Angleu, FG Cerro, EG Rodriguez-Monte, MEGL Villanueva, NG Crespo, MG Garcia, GG Carrasco, MEG Marin, MAG Menchen, CG Ipina, FG Rodriguez, IG Esteve, MTG Gomez, MH Blanco, AH Sanchez, YH del Rey, CH Fernandez, AI Martin, GI Fos, II Riezu, MAI Casso, MSJ Montanes, LJ de Lera, CL Navarro, LL Abel, BL Balseiro, ML Gonzalez, JL Julian, NM Cazcarra, JAM Toral, MJM Linero, AM Garcia, BM Llagaria, MM Alonso, SM Blanch, CM de Lara, IM del Villar, MM Lorente, MIM Oloron, PM Soto, MIM Checa, LM Morillo, MAM Lopez, CM Abad, PM Ortiz, FM Gutierrez, AM Tirado, AM Montes, AO Matamala, AO Garrido, AO Erroz, IO Argueta, JRP Aguera, LP Molina, EP Salas, JEP Carrillo, CJP Campos, DP Herrera, VP Agapito, MAPM Munuzuri, AP Pardo, AMP Roldan, JMP Picarzo, FJPL Moreno, MRPP Perin, F Fuentes, IP Izquierdo, BP Morales, MP Dalmau, MAP Ovalle, EP Poveda, MTR Rodriguez, SR Garcia, SMR Arcelus, ER Mendez, BR Armada, AR Jimenez, NR Gonzalez, MR Mesa, MDR Serrano, RR Sombrero, MHR Barba, VR Ibarra, CR Vivas, FR Nunez, FR Soriano, JR Rotes, AS Salguero, FJS Capunay, JFS Peracaula, CS Andres, AS Calderon, AS Vaquerizo, CS Pascual, ES Robles, MIS Sanchez-Manjavacas, AS Baladron, AS Garcia, RS Belmonte, DS Garcia, MS Cabrera, PS Moreno, ATM Moreno, RTM Hernandez, MAT Rico, MT Prat, SU Carrasco, AIU Padrino, EV Adan, MTV Albert, SV Nogales, JV Walter, CC Martin, MY Casajona, MDZ SECPCC |
| author |
Sombrero, HR |
| author_facet |
Sombrero, HR Fernandez-Cooke, E Sanchez-Manubens, J Picarzo, JPL de la Torre, LA Alvarez-Fuente, M Garcia, GG Gutierrez-Larraya, F Vazquez, BT McMullan, PD Perez, GA Arboledas, FJA Martin, CA Echauri, JA Garcia, PA Arevalo, P Rofes, AA Sanchez, MA Domingo, EJB Rodrigo, AB Abbona, MSB Fernandez, IB Tascon, AB Torralva, CMB Jover, EB Rodriguez, CB Trigo, SB Sayago, MJB Diaz, MJC Tejedor, MTC Moreno, JIC Blesa, CC Bellon, JMC Cassanello, MP Malfaz, FC Spoturno, ACC Hernandez, RC Orvay, JAC Marcos, DC Manotas, HAC Peiro, VC de Caro, AP Cancho, MD Iglesias, LAD Bronte, LD Menendez, BD Megias, LD Tomas, JJD Colina, PD Garcia, OD Garrido, MND Manzano, PD Bedoya, JD Espinosa, JE Nava, FEE Pinela, HDE Asenjo, ME Ruiz, APF Aracama, JF Sarabia, JF Soria, MTF Suarez, NF Belda, AF Villar, SF Garcia, JF Moure, AF de Vinuesa, APGG Arzoz, MG Angleu, FG Cerro, EG Rodriguez-Monte, MEGL Villanueva, NG Crespo, MG Carrasco, MEG Marin, MAG Menchen, CG Ipina, FG Rodriguez, IG Esteve, MTG Gomez, MH Blanco, AH Sanchez, YH del Rey, CH Fernandez, AI Martin, GI Fos, II Riezu, MAI Casso, MSJ Montanes, LJ de Lera, CL Navarro, LL Abel, BL Balseiro, ML Gonzalez, JL Julian, NM Cazcarra, JAM Toral, MJM Linero, AM Garcia, BM Llagaria, MM Alonso, SM Blanch, CM de Lara, IM del Villar, MM Lorente, MIM Oloron, PM Soto, MIM Checa, LM Morillo, MAM Lopez, CM Abad, PM Ortiz, FM Gutierrez, AM Tirado, AM Montes, AO Matamala, AO Garrido, AO Erroz, IO Argueta, JRP Aguera, LP Molina, EP Salas, JEP Carrillo, CJP Campos, DP Herrera, VP Agapito, MAPM Munuzuri, AP Pardo, AMP Roldan, JMP Picarzo, FJPL Moreno, MRPP Perin, F Fuentes, IP Izquierdo, BP Morales, MP Dalmau, MAP Ovalle, EP Poveda, MTR Rodriguez, SR Garcia, SMR Arcelus, ER Mendez, BR Armada, AR Jimenez, NR Gonzalez, MR Mesa, MDR Serrano, RR Sombrero, MHR Barba, VR Ibarra, CR Vivas, FR Nunez, FR Soriano, JR Rotes, AS Salguero, FJS Capunay, JFS Peracaula, CS Andres, AS Calderon, AS Vaquerizo, CS Pascual, ES Robles, MIS Sanchez-Manjavacas, AS Baladron, AS Garcia, RS Belmonte, DS Garcia, MS Cabrera, PS Moreno, ATM Moreno, RTM Hernandez, MAT Rico, MT Prat, SU Carrasco, AIU Padrino, EV Adan, MTV Albert, SV Nogales, JV Walter, CC Martin, MY Casajona, MDZ SECPCC |
| author_role |
author |
| author2 |
Fernandez-Cooke, E Sanchez-Manubens, J Picarzo, JPL de la Torre, LA Alvarez-Fuente, M Garcia, GG Gutierrez-Larraya, F Vazquez, BT McMullan, PD Perez, GA Arboledas, FJA Martin, CA Echauri, JA Garcia, PA Arevalo, P Rofes, AA Sanchez, MA Domingo, EJB Rodrigo, AB Abbona, MSB Fernandez, IB Tascon, AB Torralva, CMB Jover, EB Rodriguez, CB Trigo, SB Sayago, MJB Diaz, MJC Tejedor, MTC Moreno, JIC Blesa, CC Bellon, JMC Cassanello, MP Malfaz, FC Spoturno, ACC Hernandez, RC Orvay, JAC Marcos, DC Manotas, HAC Peiro, VC de Caro, AP Cancho, MD Iglesias, LAD Bronte, LD Menendez, BD Megias, LD Tomas, JJD Colina, PD Garcia, OD Garrido, MND Manzano, PD Bedoya, JD Espinosa, JE Nava, FEE Pinela, HDE Asenjo, ME Ruiz, APF Aracama, JF Sarabia, JF Soria, MTF Suarez, NF Belda, AF Villar, SF Garcia, JF Moure, AF de Vinuesa, APGG Arzoz, MG Angleu, FG Cerro, EG Rodriguez-Monte, MEGL Villanueva, NG Crespo, MG Carrasco, MEG Marin, MAG Menchen, CG Ipina, FG Rodriguez, IG Esteve, MTG Gomez, MH Blanco, AH Sanchez, YH del Rey, CH Fernandez, AI Martin, GI Fos, II Riezu, MAI Casso, MSJ Montanes, LJ de Lera, CL Navarro, LL Abel, BL Balseiro, ML Gonzalez, JL Julian, NM Cazcarra, JAM Toral, MJM Linero, AM Garcia, BM Llagaria, MM Alonso, SM Blanch, CM de Lara, IM del Villar, MM Lorente, MIM Oloron, PM Soto, MIM Checa, LM Morillo, MAM Lopez, CM Abad, PM Ortiz, FM Gutierrez, AM Tirado, AM Montes, AO Matamala, AO Garrido, AO Erroz, IO Argueta, JRP Aguera, LP Molina, EP Salas, JEP Carrillo, CJP Campos, DP Herrera, VP Agapito, MAPM Munuzuri, AP Pardo, AMP Roldan, JMP Picarzo, FJPL Moreno, MRPP Perin, F Fuentes, IP Izquierdo, BP Morales, MP Dalmau, MAP Ovalle, EP Poveda, MTR Rodriguez, SR Garcia, SMR Arcelus, ER Mendez, BR Armada, AR Jimenez, NR Gonzalez, MR Mesa, MDR Serrano, RR Sombrero, MHR Barba, VR Ibarra, CR Vivas, FR Nunez, FR Soriano, JR Rotes, AS Salguero, FJS Capunay, JFS Peracaula, CS Andres, AS Calderon, AS Vaquerizo, CS Pascual, ES Robles, MIS Sanchez-Manjavacas, AS Baladron, AS Garcia, RS Belmonte, DS Garcia, MS Cabrera, PS Moreno, ATM Moreno, RTM Hernandez, MAT Rico, MT Prat, SU Carrasco, AIU Padrino, EV Adan, MTV Albert, SV Nogales, JV Walter, CC Martin, MY Casajona, MDZ SECPCC |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Kawasaki disease Mucocutaneous lymphnode syndrome Vasculitis Arteritis Coronary aneurysm Coronary vessels Aneurysm Immunoglobulins intravenous Steroids Consensus |
| topic |
Kawasaki disease Mucocutaneous lymphnode syndrome Vasculitis Arteritis Coronary aneurysm Coronary vessels Aneurysm Immunoglobulins intravenous Steroids Consensus |
| description |
Kawasaki disease is a self-limiting acute vasculitis that affects small and medium-sized vessels, and is the most common cause of acquired heart disease in children in our environment. Up to 25% of untreated patients develop coronary aneurysms. It is suspected that an infectious agent may be the trigger of the disease, but the causative agent is still unknown. Based on the previous evidence, recommendations are proposed for the diagnosis, treatment of acute disease, and the long-term management of these patients, in order to unify criteria. The diagnosis must be quick, based on easy-to-use algorithms and with the support of complementary tests. This document includes the indication of available imaging techniques, as well as the planning of cardiological examinations based on the initial involvement. Intravenous immunoglobulin is the basis of the initial treatment. The role of corticosteroids is still controversial, but there are studies that support its use as adjuvant treatment. A multidisciplinary working group has developed a scheme with different treatment guidelines depending on the risk factors at diagnosis, the patient's clinical situation, and response to previous treatment, including indications for thromboprophylaxis in patients with coronary involvement. The stratification of risk for long-term treatment is essential, as well as the recommendations on the procedures based on the initial cardiological involvement and its progression. Patients with coronary aneurysms require continuous and uninterrupted cardiological monitoring for life. (C) 2018 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U. |
| publishDate |
2018 |
| dc.date.none.fl_str_mv |
2018 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://isabial.portalinvestigacion.com/publicaciones8033 |
| url |
https://isabial.portalinvestigacion.com/publicaciones8033 |
| dc.language.none.fl_str_mv |
Español |
| language_invalid_str_mv |
Español |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.publisher.none.fl_str_mv |
EDICIONES DOYMA S A |
| publisher.none.fl_str_mv |
EDICIONES DOYMA S A |
| dc.source.none.fl_str_mv |
ANALES DE PEDIATRIA ISSN: 16954033 ISSNe: 16959531 reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| instname_str |
Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL) |
| reponame_str |
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| collection |
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1869419867398995968 |
| spelling |
National consensus on the cardiological treatment and follow-up of Kawasaki diseaseSombrero, HRFernandez-Cooke, ESanchez-Manubens, JPicarzo, JPLde la Torre, LAAlvarez-Fuente, MGarcia, GGGutierrez-Larraya, FVazquez, BTMcMullan, PDPerez, GAArboledas, FJAMartin, CAEchauri, JAGarcia, PAArevalo, PRofes, AASanchez, MADomingo, EJBRodrigo, ABAbbona, MSBFernandez, IBTascon, ABTorralva, CMBJover, EBRodriguez, CBTrigo, SBSayago, MJBDiaz, MJCTejedor, MTCMoreno, JICBlesa, CCBellon, JMCCassanello, MPMalfaz, FCSpoturno, ACCHernandez, RCOrvay, JACMarcos, DCManotas, HACPeiro, VCde Caro, APCancho, MDIglesias, LADBronte, LDMenendez, BDMegias, LDTomas, JJDColina, PDGarcia, ODGarrido, MNDManzano, PDBedoya, JDEspinosa, JENava, FEEPinela, HDEAsenjo, MERuiz, APFAracama, JFSarabia, JFSoria, MTFSuarez, NFBelda, AFVillar, SFGarcia, JFMoure, AFde Vinuesa, APGGArzoz, MGAngleu, FGCerro, EGRodriguez-Monte, MEGLVillanueva, NGCrespo, MGGarcia, GGCarrasco, MEGMarin, MAGMenchen, CGIpina, FGRodriguez, IGEsteve, MTGGomez, MHBlanco, AHSanchez, YHdel Rey, CHFernandez, AIMartin, GIFos, IIRiezu, MAICasso, MSJMontanes, LJde Lera, CLNavarro, LLAbel, BLBalseiro, MLGonzalez, JLJulian, NMCazcarra, JAMToral, MJMLinero, AMGarcia, BMLlagaria, MMAlonso, SMBlanch, CMde Lara, IMdel Villar, MMLorente, MIMOloron, PMSoto, MIMCheca, LMMorillo, MAMLopez, CMAbad, PMOrtiz, FMGutierrez, AMTirado, AMMontes, AOMatamala, AOGarrido, AOErroz, IOArgueta, JRPAguera, LPMolina, EPSalas, JEPCarrillo, CJPCampos, DPHerrera, VPAgapito, MAPMMunuzuri, APPardo, AMPRoldan, JMPPicarzo, FJPLMoreno, MRPPPerin, FFuentes, IPIzquierdo, BPMorales, MPDalmau, MAPOvalle, EPPoveda, MTRRodriguez, SRGarcia, SMRArcelus, ERMendez, BRArmada, ARJimenez, NRGonzalez, MRMesa, MDRSerrano, RRSombrero, MHRBarba, VRIbarra, CRVivas, FRNunez, FRSoriano, JRRotes, ASSalguero, FJSCapunay, JFSPeracaula, CSAndres, ASCalderon, ASVaquerizo, CSPascual, ESRobles, MISSanchez-Manjavacas, ASBaladron, ASGarcia, RSBelmonte, DSGarcia, MSCabrera, PSMoreno, ATMMoreno, RTMHernandez, MATRico, MTPrat, SUCarrasco, AIUPadrino, EVAdan, MTVAlbert, SVNogales, JVWalter, CCMartin, MYCasajona, MDZSECPCCKawasaki diseaseMucocutaneous lymphnode syndromeVasculitisArteritisCoronary aneurysmCoronary vesselsAneurysmImmunoglobulinsintravenousSteroidsConsensusKawasaki disease is a self-limiting acute vasculitis that affects small and medium-sized vessels, and is the most common cause of acquired heart disease in children in our environment. Up to 25% of untreated patients develop coronary aneurysms. It is suspected that an infectious agent may be the trigger of the disease, but the causative agent is still unknown. Based on the previous evidence, recommendations are proposed for the diagnosis, treatment of acute disease, and the long-term management of these patients, in order to unify criteria. The diagnosis must be quick, based on easy-to-use algorithms and with the support of complementary tests. This document includes the indication of available imaging techniques, as well as the planning of cardiological examinations based on the initial involvement. Intravenous immunoglobulin is the basis of the initial treatment. The role of corticosteroids is still controversial, but there are studies that support its use as adjuvant treatment. A multidisciplinary working group has developed a scheme with different treatment guidelines depending on the risk factors at diagnosis, the patient's clinical situation, and response to previous treatment, including indications for thromboprophylaxis in patients with coronary involvement. The stratification of risk for long-term treatment is essential, as well as the recommendations on the procedures based on the initial cardiological involvement and its progression. Patients with coronary aneurysms require continuous and uninterrupted cardiological monitoring for life. (C) 2018 Asociacion Espanola de Pediatria. Published by Elsevier Espana, S.L.U.EDICIONES DOYMA S A2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones8033ANALES DE PEDIATRIAISSN: 16954033ISSNe: 16959531reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Españolinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p80332026-06-12T10:20:37Z |
| score |
15,198674 |