{"id":23947,"date":"2024-04-12T13:17:13","date_gmt":"2024-04-12T16:17:13","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=23947"},"modified":"2024-04-12T13:17:13","modified_gmt":"2024-04-12T16:17:13","slug":"doencas-exantematicas-kawasaki","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/","title":{"rendered":"Doen\u00e7as exantem\u00e1ticas: Kawasaki."},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#DOENCA_DE_KAWASAKI\" >DOEN\u00c7A DE KAWASAKI<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#Kawasaki_incompleto\" >Kawasaki incompleto<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#Tratamento\" >Tratamento<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#Kawasaki_incompleto-2\" >Kawasaki incompleto<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#Tratamento-2\" >Tratamento<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#O_metodo_que_te_aprova-2\" >O m\u00e9todo que te aprova<\/a><\/li><\/ul><\/nav><\/div>\n<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71-1024x576.png\" alt=\"\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-71.png 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t<p>Seguindo a s\u00e9rie de posts sobre as principais <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-sarampo\/\">doen\u00e7as exantem\u00e1ticas<\/a>, nesse texto abordaremos sobre a Kawasaki.<\/p>\t\t\n\t\t\t<h4>\n\t\t\t\tSum\u00e1rio\t\t\t<\/h4>\n\t\t<p>Consideramos <strong>doen\u00e7as exantem\u00e1ticas<\/strong> as s\u00edndromes de origem infecciosa, em sua maioria viral, de evolu\u00e7\u00e3o benigna e autolimitada que s\u00e3o acompanhadas por <strong>exantema,<\/strong> podendo ou n\u00e3o apresentar febre associada.<\/p><h3 id=\"h-doenca-de-kawasaki\"><span class=\"ez-toc-section\" id=\"DOENCA_DE_KAWASAKI\"><\/span>DOEN\u00c7A DE KAWASAKI<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><!-- \/wp:post-content --><!-- wp:list-item -->\n<li><strong>Cl\u00ednica e diagn\u00f3stico \u2014<\/strong> Crit\u00e9rios da American Heart Association e da European League Against Rheumatism\/Pediatric Rheumatology European Society:<\/li>\n<\/ul>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"317\" height=\"360\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61.png\" alt=\"\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61.png 317w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61-264x300.png 264w\" sizes=\"auto, (max-width: 317px) 100vw, 317px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption>(Fonte: SBP, 2021)<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t<ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> A \u00fanica forma que o exantema n\u00e3o se apresenta \u00e9 vesicobolhoso.<\/li>\n<\/ul>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"451\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62.png\" alt=\"\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62.png 976w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62-768x433.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption>(Fonte: Google Imagens).<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t<ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Todos os pacientes com kawasaki devem ser submetidos a um <strong>ecocardiograma<\/strong> para pesquisar altera\u00e7\u00f5es coronarianas. Esse exame deve ser repetido com 1 a 2 semanas e, ap\u00f3s isso, com 6 a 8 semanas para acompanhamento.<\/li>\n<\/ul>\n<p>.<\/p>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"Kawasaki_incompleto\"><\/span>Kawasaki incompleto<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>\u00c9 a presen\u00e7a de febre inexplicada e 2 a 3 crit\u00e9rios cl\u00ednicos citados acima. Devemos solicitar VHS e PCR. Se aumentados, o diagn\u00f3stico \u00e9 fechado atrav\u00e9s de ecocardiograma alterado ou \u2265 3 crit\u00e9rios laboratoriais:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\n<p>Albumina &lt; 3g\/dl<\/p>\n<\/li>\n<li>\n<p>Anemia<\/p>\n<\/li>\n<li>\n<p>Leuc\u00f3citos &gt; 15.000\/mm\u00b3<\/p>\n<\/li>\n<li>\n<p>Plaquetas &gt; 450.000\/m\u00b3 ap\u00f3s o 7\u00ba dia<\/p>\n<\/li>\n<li>\n<p>Leucocit\u00faria<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Manifesta\u00e7\u00f5es sugestivas de infec\u00e7\u00e3o de vias a\u00e9reas superiores (como tosse) ou gastrintestinal (como dor abdominal e diarreia), n\u00e3o afasta a possibilidade de Kawasaki.<\/li>\n<\/ul><ul>\n<li>20 a 30% dos pacientes n\u00e3o preenchem os crit\u00e9rios diagn\u00f3sticos, sendo consideradas <strong>formas at\u00edpicas.<\/strong> Exames que auxiliam no diagn\u00f3stico desses casos s\u00e3o:<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>VHS &gt; 40mm\/1\u00aa hora<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>PCR &gt; 3mg\/dl<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>TGP &gt; 50U<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Hiponatremia<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Dimens\u00f5es coronarianas por meio do z-escore &gt; 2,5 no ecocardiograma<\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"Tratamento\"><\/span>Tratamento<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>\u00a0A SBP recomenda o uso de <strong>AAS na dose 100mg\/kg\/dia<\/strong> dividida em 4 tomadas. Outras fontes mais recentes recomendam de <strong>30-50mg\/kg\/dia<\/strong> (dose anti-inflamat\u00f3ria) at\u00e9 a melhora da febre. Ap\u00f3s 48 horas afebril, devemos solicitar as provas inflamat\u00f3rias. Se estiverem em queda, reduzimos a dose de AAS para <strong>3-5mg\/kg\/dia<\/strong> (dose anti-plaquet\u00e1ria) por at\u00e9 6 a 8 semanas. O uso de <strong>imunoglobulina humana intravenosa 2g\/kg dose \u00fanica<\/strong><\/p>\n<p>tamb\u00e9m est\u00e1 indicada at\u00e9 10\u00ba dia, para evitar aneurisma de coron\u00e1ria.<\/p><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> O uso da imunoglobulina pode ser realizado ap\u00f3s os 10 dias se ainda houver presen\u00e7a de febre e eleva\u00e7\u00e3o de VHS ou PCR.<\/li>\n<\/ul><ul>\n<li>A American Heart Association sugere o uso de corticoide <strong>(metilprednisola 2mg\/kg\/dia EV)<\/strong> em casos de alto risco para aneurismas:<br \/>\n<ul>\n<li>&lt; 6 meses<br \/>&gt; 8 anos<\/li>\n<li>Hipoalbuminemia<\/li>\n<li>Trombocitopenia<\/li>\n<li>Lleucocitose<\/li>\n<li>leva\u00e7\u00e3o de transaminase<\/li>\n<li>Hiponatremia<\/li>\n<li>S\u00edndrome do choque do Kawasaki<\/li>\n<li>Sexo masculino<\/li>\n<\/ul>\n<\/li>\n<\/ul><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Ap\u00f3s o cessar da febre, devemos iniciar o desmame (dura\u00e7\u00e3o de 2-3 semanas) com prednisolona oral.<\/li>\n<\/ul><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":3} -->\n<ul>\n<li>\u00a0\u00a0<strong>Profilaxia \u2014<\/strong> n\u00e3o dispon\u00edvel.<\/li>\n<!-- \/wp:heading --><!-- wp:list-item \/--><!-- wp:list-item \/--><!-- wp:list-item \/--><!-- wp:list-item \/--><!-- wp:list-item -->\n<li>Seguimentos com reumatologista e cardiologista pedi\u00e1tricos devem ser sempre considerados.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list-item --><!-- wp:paragraph \/--><p>Anota todas as dicas e continua ligado no nosso blog, pois tamb\u00e9m iremos conversar sobre as outras <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-rubeola\/\">doen\u00e7as exantem\u00e1ticas<\/a>. Bons estudos!<\/p>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span>O m\u00e9todo que te aprova<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>Se voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o grupo MedCof e a metodologia que j\u00e1 aprovou mais de 10 mil residentes pelo pa\u00eds. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:<\/p>https:\/\/www.youtube.com\/watch?v=xvz4sxDe6Po<!-- \/wp:list --><!-- \/wp:list-item --><!-- wp:list --><\/p>\n<ul><!-- wp:list-item -->\n<li>\u00c9 uma <strong>vasculite sist\u00eamica, aguda e autolimitada,<\/strong> acometendo predominantemente vasos de m\u00e9dio calibre, de <strong>etiologia desconhecida.<\/strong> Acredita-se que se origine atrav\u00e9s de um gatilho infeccioso em pessoas geneticamente suscept\u00edveis.<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Predomina em crian\u00e7as de <strong>1 a 4 anos,<\/strong> com pico de incid\u00eancia entre 9 e 12 meses.<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li><strong>Cl\u00ednica e diagn\u00f3stico \u2014<\/strong> Crit\u00e9rios da American Heart Association e da European League Against Rheumatism\/Pediatric Rheumatology European Society:<\/li>\n<\/ul>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"317\" height=\"360\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61.png\" alt=\"\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61.png 317w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-61-264x300.png 264w\" sizes=\"auto, (max-width: 317px) 100vw, 317px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption>(Fonte: SBP, 2021)<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t<ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> A \u00fanica forma que o exantema n\u00e3o se apresenta \u00e9 vesicobolhoso.<\/li>\n<\/ul>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"451\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62.png\" alt=\"\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62.png 976w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-62-768x433.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption>(Fonte: Google Imagens).<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t<ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Todos os pacientes com kawasaki devem ser submetidos a um <strong>ecocardiograma<\/strong> para pesquisar altera\u00e7\u00f5es coronarianas. Esse exame deve ser repetido com 1 a 2 semanas e, ap\u00f3s isso, com 6 a 8 semanas para acompanhamento.<\/li>\n<\/ul>\n<p>.<\/p>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"Kawasaki_incompleto-2\"><\/span>Kawasaki incompleto<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>\u00c9 a presen\u00e7a de febre inexplicada e 2 a 3 crit\u00e9rios cl\u00ednicos citados acima. Devemos solicitar VHS e PCR. Se aumentados, o diagn\u00f3stico \u00e9 fechado atrav\u00e9s de ecocardiograma alterado ou \u2265 3 crit\u00e9rios laboratoriais:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\n<p>Albumina &lt; 3g\/dl<\/p>\n<\/li>\n<li>\n<p>Anemia<\/p>\n<\/li>\n<li>\n<p>Leuc\u00f3citos &gt; 15.000\/mm\u00b3<\/p>\n<\/li>\n<li>\n<p>Plaquetas &gt; 450.000\/m\u00b3 ap\u00f3s o 7\u00ba dia<\/p>\n<\/li>\n<li>\n<p>Leucocit\u00faria<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Manifesta\u00e7\u00f5es sugestivas de infec\u00e7\u00e3o de vias a\u00e9reas superiores (como tosse) ou gastrintestinal (como dor abdominal e diarreia), n\u00e3o afasta a possibilidade de Kawasaki.<\/li>\n<\/ul><ul>\n<li>20 a 30% dos pacientes n\u00e3o preenchem os crit\u00e9rios diagn\u00f3sticos, sendo consideradas <strong>formas at\u00edpicas.<\/strong> Exames que auxiliam no diagn\u00f3stico desses casos s\u00e3o:<!-- wp:list -->\n<ul><!-- wp:list-item -->\n<li>VHS &gt; 40mm\/1\u00aa hora<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>PCR &gt; 3mg\/dl<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>TGP &gt; 50U<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Hiponatremia<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Dimens\u00f5es coronarianas por meio do z-escore &gt; 2,5 no ecocardiograma<\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"Tratamento-2\"><\/span>Tratamento<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>\u00a0A SBP recomenda o uso de <strong>AAS na dose 100mg\/kg\/dia<\/strong> dividida em 4 tomadas. Outras fontes mais recentes recomendam de <strong>30-50mg\/kg\/dia<\/strong> (dose anti-inflamat\u00f3ria) at\u00e9 a melhora da febre. Ap\u00f3s 48 horas afebril, devemos solicitar as provas inflamat\u00f3rias. Se estiverem em queda, reduzimos a dose de AAS para <strong>3-5mg\/kg\/dia<\/strong> (dose anti-plaquet\u00e1ria) por at\u00e9 6 a 8 semanas. O uso de <strong>imunoglobulina humana intravenosa 2g\/kg dose \u00fanica<\/strong><\/p>\n<p>tamb\u00e9m est\u00e1 indicada at\u00e9 10\u00ba dia, para evitar aneurisma de coron\u00e1ria.<\/p><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> O uso da imunoglobulina pode ser realizado ap\u00f3s os 10 dias se ainda houver presen\u00e7a de febre e eleva\u00e7\u00e3o de VHS ou PCR.<\/li>\n<\/ul><ul>\n<li>A American Heart Association sugere o uso de corticoide <strong>(metilprednisola 2mg\/kg\/dia EV)<\/strong> em casos de alto risco para aneurismas:<br \/>\n<ul>\n<li>&lt; 6 meses<br \/>&gt; 8 anos<\/li>\n<li>Hipoalbuminemia<\/li>\n<li>Trombocitopenia<\/li>\n<li>Lleucocitose<\/li>\n<li>leva\u00e7\u00e3o de transaminase<\/li>\n<li>Hiponatremia<\/li>\n<li>S\u00edndrome do choque do Kawasaki<\/li>\n<li>Sexo masculino<\/li>\n<\/ul>\n<\/li>\n<\/ul><ul>\n<li>&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Ap\u00f3s o cessar da febre, devemos iniciar o desmame (dura\u00e7\u00e3o de 2-3 semanas) com prednisolona oral.<\/li>\n<\/ul><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} -->\n<ul>\n<li>\u00a0\u00a0<strong>Profilaxia \u2014<\/strong> n\u00e3o dispon\u00edvel.<\/li>\n<!-- \/wp:list-item --><!-- wp:list-item --><!-- \/wp:list-item --><!-- wp:list-item --><!-- \/wp:list-item --><!-- wp:list-item --><!-- \/wp:list-item --><!-- wp:list-item --><!-- \/wp:list-item --><!-- wp:list-item -->\n<li>Seguimentos com reumatologista e cardiologista pedi\u00e1tricos devem ser sempre considerados.<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><!-- wp:paragraph --><!-- \/wp:paragraph --><p>Anota todas as dicas e continua ligado no nosso blog, pois tamb\u00e9m iremos conversar sobre as outras <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-rubeola\/\">doen\u00e7as exantem\u00e1ticas<\/a>. Bons estudos!<\/p>\t\t\n\t\t\t<h2><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova-2\"><\/span>O m\u00e9todo que te aprova<span class=\"ez-toc-section-end\"><\/span><\/h2>\t\t\n\t\t<p>Se voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o grupo MedCof e a metodologia que j\u00e1 aprovou mais de 10 mil residentes pelo pa\u00eds. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:<\/p>https:\/\/www.youtube.com\/watch?v=xvz4sxDe6Po<!-- \/wp:post-content -->","protected":false},"excerpt":{"rendered":"<p>\u00c9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre, de etiologia desconhecida<\/p>\n","protected":false},"author":10,"featured_media":23964,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[120],"tags":[],"ppma_author":[],"class_list":{"0":"post-23947","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pediatria"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Doen\u00e7as exantem\u00e1ticas: Kawasaki. - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doen\u00e7as exantem\u00e1ticas: Kawasaki.\" \/>\n<meta property=\"og:description\" content=\"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2024-04-12T16:17:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70-1024x576.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"576\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Grupo MedCof\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Grupo MedCof\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/\"},\"author\":{\"name\":\"Grupo MedCof\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/5e56a3921255c01181f3d8c20d53f9c0\"},\"headline\":\"Doen\u00e7as exantem\u00e1ticas: Kawasaki.\",\"datePublished\":\"2024-04-12T16:17:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/\"},\"wordCount\":612,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/Blog-MedCof-70.png\",\"articleSection\":[\"Pediatria\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/\",\"name\":\"Doen\u00e7as exantem\u00e1ticas: Kawasaki. - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/Blog-MedCof-70.png\",\"datePublished\":\"2024-04-12T16:17:13+00:00\",\"description\":\"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/Blog-MedCof-70.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/Blog-MedCof-70.png\",\"width\":1920,\"height\":1080,\"caption\":\"\u00c9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre, de etiologia desconhecida\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-exantematicas-kawasaki\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Doen\u00e7as exantem\u00e1ticas: Kawasaki.\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/5e56a3921255c01181f3d8c20d53f9c0\",\"name\":\"Grupo MedCof\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/cropped-cropped-cropped-cropped-logo-96x96.png28585d174f19c23095510da5f63bc127\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/cropped-cropped-cropped-cropped-logo-96x96.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/cropped-cropped-cropped-cropped-logo-96x96.png\",\"caption\":\"Grupo MedCof\"},\"description\":\"Tendo aulas baseadas em quest\u00f5es, + de 115 subespecialistas dispon\u00edveis e uma metodologia \u00fanica, voc\u00ea pode se juntar ao nosso time que conta com mais de 10 mil ...\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/grupo-medcof\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Doen\u00e7as exantem\u00e1ticas: Kawasaki. - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/","og_locale":"pt_BR","og_type":"article","og_title":"Doen\u00e7as exantem\u00e1ticas: Kawasaki.","og_description":"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2024-04-12T16:17:13+00:00","og_image":[{"width":1024,"height":576,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70-1024x576.png","type":"image\/png"}],"author":"Grupo MedCof","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Grupo MedCof","Est. tempo de leitura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/"},"author":{"name":"Grupo MedCof","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/5e56a3921255c01181f3d8c20d53f9c0"},"headline":"Doen\u00e7as exantem\u00e1ticas: Kawasaki.","datePublished":"2024-04-12T16:17:13+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/"},"wordCount":612,"commentCount":0,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70.png","articleSection":["Pediatria"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/","name":"Doen\u00e7as exantem\u00e1ticas: Kawasaki. - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70.png","datePublished":"2024-04-12T16:17:13+00:00","description":"A doen\u00e7a Kawasaki \u00e9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre...","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-70.png","width":1920,"height":1080,"caption":"\u00c9 uma vasculite sist\u00eamica, aguda e autolimitada, acometendo predominantemente vasos de m\u00e9dio calibre, de etiologia desconhecida"},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-exantematicas-kawasaki\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Doen\u00e7as exantem\u00e1ticas: Kawasaki."}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/5e56a3921255c01181f3d8c20d53f9c0","name":"Grupo MedCof","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/04\/cropped-cropped-cropped-cropped-logo-96x96.png28585d174f19c23095510da5f63bc127","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/04\/cropped-cropped-cropped-cropped-logo-96x96.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/04\/cropped-cropped-cropped-cropped-logo-96x96.png","caption":"Grupo MedCof"},"description":"Tendo aulas baseadas em quest\u00f5es, + de 115 subespecialistas dispon\u00edveis e uma metodologia \u00fanica, voc\u00ea pode se juntar ao nosso time que conta com mais de 10 mil ...","url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/grupo-medcof\/"}]}},"authors":[{"term_id":3613,"user_id":10,"is_guest":0,"slug":"grupo-medcof","display_name":"Grupo MedCof","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2023\/04\/cropped-cropped-cropped-cropped-logo-96x96.png","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/23947","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=23947"}],"version-history":[{"count":0,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/23947\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/23964"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=23947"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=23947"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=23947"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=23947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}