Question

Under current circumstances: After being diagnosed with Kawasaki disease around 7 days of fever, medication was administered promptly, and blood counts, C-reactive protein, etc., have returned to normal. The echocardiogram also showed no abnormalities. The platelet count is now elevated to 709, and medication has been ongoing for a month. Can the platelet count still decrease after a month of medication with a count over 700?

Answer

You should first understand this condition. Kawasaki disease is an acute febrile rash illness in children with systemic vasculitis as the main pathological feature. It is currently believed that Kawasaki disease is an immune-mediated vasculitis. After treatment, routine blood test (routine blood tests) show normal C-reactive protein levels, and there are no abnormalities in the color Doppler echocardiogram, indicating no heart complications. Based on the provided information, it is recommended to continue medication and pay attention to regular blood tests. Platelet elevation may take some time to decrease during the treatment process and will not affect growth and development. Please consult a doctor promptly for more detailed treatment advice and guidance.