Therapy in Acute Phase
- First Line Therapy
- ASA + IVIG
- ASA + INFLIXIMAB
- Add on Therapy for first line Therapy Depends on serverity of CAL
- Antioxidants (Vitamins - ACE)
- Ulinastatin
- Doxicylin
- IVMP
- 2g IVIG/kg BW as single dose over a period of 24hrs
- Aspirin 60-80mg till child become a febrile
- Aspirin treatment should be adjusted to a low dosage when the fever subsides after 48 to 72 h (3 to 5mg/kg/day x 8wks if no CAD)
- With CAL, continue Aspirin and add Clopidogrel 1mg/kg/day max 75mg/d till the resolution of CAD on your Echo follow up
- With Giant aneurysm; Add warfarin/Coumedine/low molecular weight Heparin