Kawasaki Disease and Dental Approaches

Year 2020, , 989 - 1001, 30.11.2020

Merve Candan , İrem İpek , Murat Ünal

https://doi.org/10.33715/inonusaglik.753219

Abstract

Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome, is a self-limiting medium-sized muscular artery vasculitis and is the most common cause of acquired heart disease in children in developed countries. The disease mostly affects children under 5 years old. In the treatment of KD, use of intravenous immunoglobulin (IVIG) together with acetylsalicylic acid (ASA) is accepted as the standard treatment. Early diagnosis and treatment is very important in this childhood disease, which has life-long complications such as thrombosis, coronary stenosis, myocardial infarction, calcifications, the rupture of giant coronary artery aneurysm and sudden death. The frequent occurrence of oral symptoms in KD indicates that pediatric dentists may play a role in the diagnosis of KD. Also, the symptoms, treatment and complications of KD affect the approach of dentists to patients during dental treatment procedures. The aim of this review is to share current information about KD which has come to the agenda during the COVID-19 pandemic that affected the world, and to guide the dentist's approaches during dental treatment of these patients.

Keywords

CHILDHOOD DISEASES, DENTAL APPROACHES, KAWASAKI DISEASE

KAWASAKİ HASTALIĞI VE DENTAL YAKLAŞIMLAR

Abstract

Mukokutanöz lenf nodu sendromu olarak da bilinen Kawasaki hastalığı (KH), kendini sınırlayan orta çaplı musküler arter vasküliti olup, gelişmiş ülkelerdeki çocuklarda edinilmiş kalp hastalığının en yaygın nedenidir. Hastalık çoğunlukla 5 yaşın altındaki çocukları etkiler. KH’ nin tedavisinde intravenöz immünoglobulin (IVIG) ile birlikte asetil salisilik asit (ASA) kullanımı standart tedavi olarak kabul edilir. Yaşam boyu tromboz, koroner stenoz, miyokard enfarktüsü, kalsifikasyonlar, dev koroner arter anevrizması rüptürü ve ani ölüm gibi komplikasyonları olan bu çocukluk çağı hastalığının, erken tanı ve tedavisi çok önemlidir. KH’ de oral bulguların sıkça görülmesi, özellikle pediatrik diş hekimlerinin KH tanısında rol alabileceğini gösterir. Ayrıca KH bulguları, tedavisi ve komplikasyonları dental tedavi prosedürleri sırasında diş hekimlerinin hastalara yaklaşımlarını etkiler. Bu derlemenin amacı, tüm dünyayı etkileyen COVID-19 pandemisi döneminde yeniden gündeme gelen KH hakkındaki güncel bilgileri paylaşmak ve bu hastaların dental tedavileri sırasında diş hekimlerinin yaklaşımlarına yol gösterici olmaktır.

Keywords

ÇOCUKLUK HASTALIKLARI, DENTAL YAKLAŞIMLAR, KAWASAKİ HASTALIĞI

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