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10.1002/ppul.23885 http://scihub22266oqcxt.onion/10.1002/ppul.23885 28950425!7167766!28950425     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28950425&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Pediatr+Pulmonol 2018 ; 53 (1): 103-107 Nephropedia Template TP {{tp|p=28950425|t=2018. Pulmonary presentation of Kawasaki disease-A diagnostic challenge |pdf=|usr=}}{{28950425}} gab.com Text Pulmonary presentation of Kawasaki disease-A diagnostic challenge JO: Pediatr Pulmonol http://www.kidney.de/pget.php?&tw=1&pmid=28950425 #FOAvip OBJECTIVES: Kawasaki disease (KD) is a multisystemic vasculitis with predominant mucocutaneous manifestations. Pulmonary involvement in KD is distinctly uncommon and is not commonly recognized. We describe our experience of managing children with KD wherein the initial presentation was predominantly pulmonary. METHODS: Six hundred and two children have been diagnosed with KD during the period January 1993 to May 2017 in the Allergy Immunology Unit, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh. Data were collected from inpatient records in Allergy Immunology Unit and follow-up files in the Pediatric Rheumatology Clinic. RESULTS: Of 602 children, 11 (1.83%) had a predominant pulmonary presentation of KD. Mean age at diagnosis of KD was 2.5 years. Fever, cough and respiratory distress were the presenting complaints in all patients. First sign of KD was noted at a mean duration of 14.5 days from the onset of symptoms. Periungual desquamation was the most common clinical sign (72.7%). Persistent fever in spite of antimicrobials, thrombocytosis, and elevated erythrocyte sedimentation rate and C-reactive protein levels pointed toward a diagnosis of KD in our patients. Parenchymal consolidation was evident on chest X-ray in all patients, pleural effusion in six, empyema in three, and pneumothorax in two patients. Coronary artery abnormalities were evident in three patients. Intravenous immunoglobulin was given after a mean period of 22.4 days of onset of fever. CONCLUSIONS: The diagnosis of KD is often delayed in children who have a predominantly pulmonary presentation. This can have adverse clinical consequences. Twit Text FOAVip Pulmonary presentation of Kawasaki disease-A diagnostic challenge ????Pediatr Pulmonol http://www.kidney.de/pget.php?&tw=1&pmid=28950425 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28950425 #FOAvip English Wikipedia <ref>{{Cite pmid|28950425}}</ref> Pulmonary presentation of Kawasaki disease-A diagnostic challenge #MMPMID28950425 Singh S; Gupta A; Jindal AK; Gupta A; Suri D; Rawat A; Vaidya PC; Singh M Pediatr Pulmonol 2018[Jan]; 53 (1): 103-107 PMID28950425show ga OBJECTIVES: Kawasaki disease (KD) is a multisystemic vasculitis with predominant mucocutaneous manifestations. Pulmonary involvement in KD is distinctly uncommon and is not commonly recognized. We describe our experience of managing children with KD wherein the initial presentation was predominantly pulmonary. METHODS: Six hundred and two children have been diagnosed with KD during the period January 1993 to May 2017 in the Allergy Immunology Unit, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research, Chandigarh. Data were collected from inpatient records in Allergy Immunology Unit and follow-up files in the Pediatric Rheumatology Clinic. RESULTS: Of 602 children, 11 (1.83%) had a predominant pulmonary presentation of KD. Mean age at diagnosis of KD was 2.5 years. Fever, cough and respiratory distress were the presenting complaints in all patients. First sign of KD was noted at a mean duration of 14.5 days from the onset of symptoms. Periungual desquamation was the most common clinical sign (72.7%). Persistent fever in spite of antimicrobials, thrombocytosis, and elevated erythrocyte sedimentation rate and C-reactive protein levels pointed toward a diagnosis of KD in our patients. Parenchymal consolidation was evident on chest X-ray in all patients, pleural effusion in six, empyema in three, and pneumothorax in two patients. Coronary artery abnormalities were evident in three patients. Intravenous immunoglobulin was given after a mean period of 22.4 days of onset of fever. CONCLUSIONS: The diagnosis of KD is often delayed in children who have a predominantly pulmonary presentation. This can have adverse clinical consequences. |C-Reactive Protein/analysis[MESH] |Child, Preschool[MESH] |Female[MESH] |Fever/diagnosis/drug therapy[MESH] |Humans[MESH] |Immunoglobulins, Intravenous/therapeutic use[MESH] |Infant[MESH] |Lung/diagnostic imaging[MESH] |Male[MESH] |Mucocutaneous Lymph Node Syndrome/*diagnosis/drug therapy[MESH]Pulmonary presentation of Kawasaki disease-A diagnostic challenge (epmc).pdf DeepDyve Pubget Overpricing