Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Cervical lymphadenopathy? Hello, Doctor: My child is 7 years old and had swollen lymph nodes two years ago. We went to the hospital for an ultrasound and blood tests, and the doctor said they were benign lymph nodes. They are still present now, sometimes getting larger and someti...
Dr. Pei Rensheng Reply:
Hello: 1. In children, lymphadenopathy is most commonly caused by infections. There are rare cases where it may be due to malignant tumors, autoimmune diseases, Kawasaki disease, drug reactions, or post-vaccination responses. 2. If the lymph nodes are less than 2 cm, there is usu...[Read More] Understanding Pediatric Lymph Node Issues and Tonsillectomy Concerns
Understanding Adenovirus Symptoms in Children Before Air Travel
Adenovirus and Air Travel Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21. After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza. After returning home, the fever has been intermittent, reaching ...
Dr. He Zongxian Reply:
Dear Parent of the Little One, Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection. However, I would like to remind you th...[Read More] Understanding Adenovirus Symptoms in Children Before Air Travel
Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Is it necessary to conduct cardiovascular examinations after a positive rapid test for adenovirus? My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilate...
Dr. Xie Wanghu Reply:
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...[Read More] Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?
Should You Pause Low-Dose Aspirin After a Child's Head Injury?
I would like to ask if I should stop taking low-dose aspirin after hitting my head? The child was diagnosed with Kawasaki disease in mid-November and has received intravenous immunoglobulin treatment and is currently taking low-dose aspirin. A follow-up echocardiogram has shown n...
Dr. He Zongxian Reply:
Hello, there is currently no consensus in the medical community regarding the risk of intracranial hemorrhage associated with low-dose aspirin in cases of mild head trauma; it should be considered on an individual basis. If you have concerns, it is advisable to discuss with your ...[Read More] Should You Pause Low-Dose Aspirin After a Child's Head Injury?
Guidelines for Kawasaki Disease Patients on Choosing COVID-19 Vaccines
Patients with Kawasaki disease should consider the following when selecting and receiving the COVID-19 vaccine: 1. **Timing of Vaccination**: It is important to consult with a healthcare provider regarding the appropriate timing for vaccination, especially if the patient has rec...
Dr. Xie Wanghu Reply:
Hello! Since each person's condition varies, it is advisable to have your attending physician evaluate it. Thank you.[Read More] Guidelines for Kawasaki Disease Patients on Choosing COVID-19 Vaccines
Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents
Kawasaki disease, joint pain? Is it normal for a child with Kawasaki disease, who has been ill for more than two weeks, to suddenly wake up in the middle of the night complaining of severe hand pain that prevents them from sleeping? How should we care for joint pain associated wi...
Dr. Xie Wanghu Reply:
Dear Mommy, thank you for your hard work these past two weeks! Kawasaki disease is a systemic vasculitis, and one-third of children with Kawasaki disease experience arthritis and joint pain. It can be classified into two types: 1. The early-onset type occurs within the first 10 d...[Read More] Understanding Joint Pain in Kawasaki Disease: Care Tips for Parents
Understanding Pediatric Lymph Nodes: What Parents Should Know
Cervical lymphadenopathy issues? Hello Doctor, I noticed a protruding lymph node in the area above my son's left clavicle, near the sternocleidomastoid muscle, when he was around one month old. It's about 0.3-0.5 cm, movable, and soft. Now my son is over three years old...
Dr. Pei Rensheng Reply:
Hello: Regarding neck lumps, I previously published an article in the media, and the content is as follows for your reference! When bathing a baby, parents may notice one or several hard lumps on the neck or back of the head. What should parents do? Most of these hard lumps are l...[Read More] Understanding Pediatric Lymph Nodes: What Parents Should Know
Understanding Elevated Platelet Counts After Kawasaki Disease in Children
Post-Kawasaki disease follow-up shows persistently elevated platelet levels? I would like to ask the doctor: My daughter is currently 1 year and 1 month old. When she was 6 months old, she was diagnosed with Kawasaki disease. Initially, her platelet count was measured at 410,000/...
Dr. Xiao Kaiwen Reply:
Although Kawasaki disease has passed the acute phase, there may still be a prolonged period of elevated platelet counts. There is no need to be overly concerned about the blood test results, but to prevent coronary artery lesions, please collaborate with your attending physician....[Read More] Understanding Elevated Platelet Counts After Kawasaki Disease in Children
Understanding BCG Vaccine Reactions and Kawasaki Disease in Children
BCG vaccine issues Hello, doctor. When my child was about 2 years old, he had a cold, and I noticed that the area where he received the BCG vaccine was pink. I can't remember if he had a fever for more than five days. Later, during a routine check-up at the hospital, I asked...
Dr. Xiao Kaiwen Reply:
Without directly observing the appearance of the BCG scar and conducting a physical examination, it is difficult to determine if it is normal. Kawasaki disease is an immune system issue with specific treatment methods; common cold medications typically do not reduce fever. Theref...[Read More] Understanding BCG Vaccine Reactions and Kawasaki Disease in Children
Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Could it be Kawasaki disease? Hello doctor, my daughter is currently one and a half years old. She started having a fever on May 29 and visited the clinic twice. On June 1, I noticed she was a bit wheezy, so we went to the emergency room where she had blood tests and an X-ray; th...
Dr. Xiao Kaiwen Reply:
Kawasaki disease has diagnostic criteria: (1) fever lasting more than five days; (2) bilateral conjunctival injection without discharge; (3) oral mucosal changes, including bright red, cracked lips and a strawberry tongue; (4) redness and swelling of the palms and soles; (5) non-...[Read More] Could It Be Kawasaki Disease? Understanding Symptoms in Young Children
Fever and Red Mouth in Children: Is It Kawasaki Disease?
Fever and red mouth? Doctor, may I ask if a child can have a red mouth when they have a fever? My son, who is about one year old, had a fever once and his mouth was very red, but I don't remember if his eyes were also red. After the fever, he developed a rash on his body. Co...
Dr. Xiao Kaiwen Reply:
The diagnosis of Kawasaki disease requires the exclusion of other conditions and must meet several diagnostic criteria: 1. Fever lasting more than 5 days, 2. Bilateral non-purulent conjunctivitis, 3. Red, cracked lips or strawberry tongue, 4. Cervical lymphadenopathy, 5. Concurre...[Read More] Fever and Red Mouth in Children: Is It Kawasaki Disease?
Understanding Finger Peeling in Infants: Is It Kawasaki Disease?
Peeling skin on the fingers? Hello, doctor. My daughter is currently 9 months old. She had a fever of about 39-40 degrees Celsius from July 29 to August 1, and then her fever subsided. After that, she had diarrhea for one day, about 4-5 times. We visited the doctor on July 29 and...
Dr. Xiao Kaiwen Reply:
The absence of persistent fever means it is unlikely to be Kawasaki disease, as a sustained high fever lasting more than five days is a necessary criterion for Kawasaki disease. The age, duration of illness, and clinical symptoms suggest it could possibly be roseola, but without ...[Read More] Understanding Finger Peeling in Infants: Is It Kawasaki Disease?
Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Post-treatment considerations for Kawasaki disease? Hello Doctor: My child is a 3-year-and-1-month-old boy who received treatment for Kawasaki disease last week and was discharged on August 13 (Saturday). The doctor advised us to avoid going out for the time being to prevent infe...
Dr. Pei Rensheng Reply:
Hello: After recovery and discharge from Kawasaki's disease, please pay attention to the following: 1. Monitor the heart and have regular echocardiograms. 2. Due to the use of aspirin, avoid exposure to influenza or varicella (chickenpox). 3. Live vaccines should be administ...[Read More] Post-Kawasaki Disease Care: When Can Your Child Go Outside?
Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Fever, rash, and diarrhea in children? My child will turn one at the end of August. Last Saturday at 9 AM, he received two vaccinations for chickenpox and measles. Before the shots, I felt that his temperature was slightly elevated, but I didn't measure it at that time. Afte...
Dr. Xiao Kaiwen Reply:
The following is a brief overview of diseases associated with fever and rash in infants and young children (refer to items 1, 2, 3, 4, 5): 1. Measles 2. Rubella 3. Scarlet Fever 4. Roseola Infantum 5. Kawasaki Disease **Age of Onset:** 1. > 6 months 2. > 6 months 3. > ...[Read More] Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents
Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Kawasaki disease!!! My nephew was diagnosed with Kawasaki disease when he was young, and he has been undergoing regular check-ups once a year since then. I would like to ask Dr. He: What impact might Kawasaki disease have on a child's health in adulthood? How can we prevent ...
Dr. He Ciyuan Reply:
1. In pediatric cardiology, experiences from Japan have indicated that many patients develop early coronary artery disease 20 to 30 years after having Kawasaki disease, leading to symptoms such as angina, myocardial ischemia, myocardial infarction, and arrhythmias. Such experienc...[Read More] Understanding Kawasaki Disease: Long-Term Effects and Prevention Strategies
Is It the Flu? Understanding Serious Symptoms in Children
Is it the flu? Should I be concerned? Doctor, I have a question: My two children had a fever on the same day, but in different locations. However, their condition seems more serious because they have yellow discharge from their eyes and bloodshot sclera. We took them to see a doc...
Dr. Xiao Kaiwen Reply:
Common situations in which children may experience fever and conjunctivitis include infections (such as adenoviral pharyngoconjunctival fever, measles, scarlet fever, influenza, etc.) and autoimmune diseases (such as Kawasaki disease). Each condition may also present with additio...[Read More] Is It the Flu? Understanding Serious Symptoms in Children
Understanding Kawasaki Disease: Urgent Care and Ultrasound Timing for Your Child
Kawasaki disease Hello Dr. Pei, my younger brother is one year old and has recently been diagnosed with Kawasaki disease. It has been about half a month since the diagnosis. We visited the doctor on the 14th, and they recommended that we get an ultrasound, but the appointment is ...
Dr. Pei Rensheng Reply:
Dear Jia-Yi, Hello! During the acute phase of Kawasaki disease, a cardiac ultrasound should have already been performed. If there is no significant coronary artery aneurysm formation, you can wait for a period of time before the next follow-up. According to the pediatric cardiol...[Read More] Understanding Kawasaki Disease: Urgent Care and Ultrasound Timing for Your Child
Differences Between Kawasaki Disease and Roseola in Young Children
excuse me? What is the difference between Kawasaki disease and roseola? A 1.8-year-old girl started having a fever of 40 degrees Celsius on the night of April 19. She was diagnosed with a general fever and was admitted to the hospital on the night of April 20 due to persistent fe...
Dr. Xie Degui Reply:
Kawasaki disease, in addition to skin rashes, lymphadenopathy, conjunctivitis or oral inflammation, and peripheral extremity redness or desquamation, is primarily diagnosed based on a fever lasting for five days. Sometimes the clinical symptoms can be quite similar, but a diagnos...[Read More] Differences Between Kawasaki Disease and Roseola in Young Children
Managing High Fever and Irritability in Toddlers: Tips and Remedies
Excessive heat in children? My daughter is currently 14 months old and has a lot of heat in her body, resulting in chapped lips and a sore tongue. Aside from medication, what other methods can help reduce her heat? She drinks plenty of water. Is there a possibility that this situ...
Dr. Hong Shuokun Reply:
Hello Kuo.Keven: A 14-month-old child with chapped lips and a sore tongue can have many possible causes! Conditions such as enterovirus, herpetic gingivostomatitis, and Kawasaki disease should not be taken lightly. I recommend that you consult a pediatrician for an examination. I...[Read More] Managing High Fever and Irritability in Toddlers: Tips and Remedies
Caring for Infants with Kawasaki Disease: Key Considerations and Concerns
How to care for a baby with Kawasaki disease? Hello, my daughter just turned 2 months old. After being hospitalized for a fever two weeks ago, she was diagnosed with Kawasaki disease. Currently, her echocardiogram is normal. I would like to know if this condition can lead to any ...
Dr. Lin Huizhen Reply:
Dear Dr. Lin Huizhen of the Pediatric Department at Tainan Hospital, Executive Yuan Health Department: The most significant potential long-term complication of Kawasaki disease is related to the heart. If there are no changes in cardiac follow-up, future medication and monitorin...[Read More] Caring for Infants with Kawasaki Disease: Key Considerations and Concerns