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- Title
SUCCESSFUL HOME INR MONITORING FOLLOWING KAWASAKI DISEASE.
- Authors
Ahmed, Bushra; Sen, Camilla; Michie, Colin
- Abstract
Most paediatricians will encounter at least one case of Kawasaki disease complicated by aneurysmal damage of the coronary arteries. Current consensus recommends anticoagulation with warfarin to reduce the risk of myocardial ischaemia and infarction in such cases. Monitoring warfarin treatment in these children may be challenging. We describe a case of an 11 week old Caucasian boy who presented with evolving Kawasaki syndrome complicated by giant coronary aneurysms. His subsequent anticoagulation has been managed with near patient finger prick INR testing, initially in a hospital clinic then at home. The case illustrates some of the advantages and disadvantages of this process.
- Subjects
PEDIATRICIANS; CORONARY artery injuries
- Publication
West London Medical Journal, 2013, Vol 5, Issue 2, p11
- ISSN
1757-756X
- Publication type
Article