Enfermedad de Kawasaki en niños diagnóstico clínico y de laboratorio
No hay miniatura disponible
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La enfermedad Kawasaki también caracterizado por ser un proceso febril en niños,
catalogada por la Clasificación Estadística Internacional de Enfermedades y Problemas
Relacionados con la Salud cuyas siglas son CIE 10 M30.3. Siendo de origen
desconocido, que actualmente la relacionan con acción de un agente infeccioso, viral
que afecta directamente a las células inmunológicas causando un efecto inflamatorio
especialmente a nivel cardiaco llevando a daño de la pared arterial coronaria y a
complicaciones futuras. El objetivo general del presente estudio es determinar los
parámetros clínicos y de laboratorio en la Enfermedad de Kawasaki en niños en el
Hospital Francisco Icaza Bustamante 2013-2016, el estudio es cuantitativo,
retrospectivo, analítico, descriptivo, de correlación, no experimental, obteniendo como
resultados relevantes, la edad pediátrica que predomina es de 1-5 años con el 75%,
presentando manifestaciones clínicas siendo la fiebre con 100%, seguido con exantema
100%, los cambios a nivel de manos y pies como edema, eritema y descamación en un
97%, la hiperemia conjuntival 83%. Predominando un aumento de la PCR con el 100%,
y la trombocitosis 97%. Existiendo otros parámetros durante esta fase como la VSG,
plaquetas, hemoglobina, pero no son constantes ni predictivos de la entidad. Nos indica
que los resultados del estudio tienen similitud con estudios realizados en países donde
existe mayor frecuencia de casos investigados por lo tanto apoya a un diagnóstico
oportuno.
Kawasaki disease is also characterized as a febrile process in children, cataloged by the International Statistical Classification of Diseases and Related Health Problems, which are CIE 10 M30.3. Being of unknown origin, they currently relate it to the action of an infectious, viral agent that directly affects the immune cells causing an inflammatory effect especially at the cardiac level leading to damage of the coronary artery wall and to future complications. The general objective of the present study is to determine the clinical and laboratory parameters in Kawasaki's disease in children in the Hospital Francisco Icaza Bustamante 2013-2016, the study is quantitative, retrospective, analytical, descriptive, correlation, non-experimental, obtaining as Pediatric age is 1-5 years, with 75% presenting clinical manifestations, with fever being 100%, followed by exanthema 100%, changes in hands and feet such as edema, erythema and desquamation in 97%, conjunctival hyperemia 83%. Predominantly increased CRP with 100%, and thrombocytosis 97%. There are other parameters during this phase such as ESR, platelets, hemoglobin, but are not constant or predictive of the entity. It indicates that the results of the study have similarity to studies carried out in countries where there is a higher frequency of cases investigated and therefore supports a timely diagnosis.
Kawasaki disease is also characterized as a febrile process in children, cataloged by the International Statistical Classification of Diseases and Related Health Problems, which are CIE 10 M30.3. Being of unknown origin, they currently relate it to the action of an infectious, viral agent that directly affects the immune cells causing an inflammatory effect especially at the cardiac level leading to damage of the coronary artery wall and to future complications. The general objective of the present study is to determine the clinical and laboratory parameters in Kawasaki's disease in children in the Hospital Francisco Icaza Bustamante 2013-2016, the study is quantitative, retrospective, analytical, descriptive, correlation, non-experimental, obtaining as Pediatric age is 1-5 years, with 75% presenting clinical manifestations, with fever being 100%, followed by exanthema 100%, changes in hands and feet such as edema, erythema and desquamation in 97%, conjunctival hyperemia 83%. Predominantly increased CRP with 100%, and thrombocytosis 97%. There are other parameters during this phase such as ESR, platelets, hemoglobin, but are not constant or predictive of the entity. It indicates that the results of the study have similarity to studies carried out in countries where there is a higher frequency of cases investigated and therefore supports a timely diagnosis.
Descripción
PDF
Palabras clave
Síndrome mucocutáneo linfonodular, Diagnóstico clínico, Métodos de diagnóstico, Epidemiología descriptiva, Epidemiología analítica, Estudios retrospectivos, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Pediatría