K

, Juraj Payer2 and Manfred Herold3



(1)
National Institute for Rheumatic Diseases, Piestany, Slovakia

(2)
Fifth Department of Internal Medicine, Comenius University University Hospital, Bratislava, Slovakia

(3)
Department of Internal Medicine VI, Medical University of Innsbruck, Innsbruck, Austria

 



Kallikrein A proteolytic enzyme that is a component of the kinin and haemocoagulation systems. It participates in the production of bradykinin, activates Hageman’s factor and is able to directly cleave the C5 component of the complement.

Kaltenborn method A set of three exercises mainly used in vertebrogenic syndromes for relaxing the rigidity of the spine at blocked points. The movements can be targeted segmentally at a given section of the spine and with their help release the whole of the spine. In rheumatology, the Kaltenborn method can be utilised in vertebrogenic disorders and the early stages of ankylosing spondylitis.

Kawasaki’s disease (KD) It is also known as mucocutaneous lymph node syndrome. It is an infantile systemic inflammatory disease with polyarteritis, aseptic lymphadenopathy and inflammation of the skin and mucous membranes. It is an acute febrile disease of children younger than 5 years of age that occurs mainly in Japan but sporadically in other countries. It mainly has a mild course, but in approximately 2 % of patients, it is fatal due to a necrotising vasculitis or multiple aneurysms of the coronary arteries (detectable by echocardiography). Laboratory findings include raised acute phase reactants, leucocytosis and often a marked thrombocytosis. Its aetiology is unknown. An infection or a certain toxin produced by infecting microorganisms at the onset is hypothesised, followed by a number of immunological abnormalities such as increased production of IL-1 and TNF-α, as well as immune complexes. These cause damage to the vascular endothelium during the acute stage of the disease. Treatment includes intravenous immunoglobulin (2 g/kg) and high-dose aspirin.



  • Clinical symptoms and signs

    Diagnostic criteria (American Heart Association 2004) comprise a fever lasting longer than 5 days plus four of the following: conjunctivitis and ocular erythema, dry red lips and tongue, gingivitis, cervical lymphadenopathy (the size of one node at least 1.5 cm), oedema and erythema on the palms and soles and polymorphous rash on the trunk.

Kegel exercise An exercise developed by American gynaecologist Arnold H. Kegel (1894–1981). The exercises are aimed at strengthening the pelvic floor and should help to prevent stress incontinence (involuntary urine leakage). The exercise system contains four phases: visualisation (to perceive with inner vision the region controlled by the muscles), relaxation (to learn how to breath in a comfortable supine position with pillow under the knees), isolation (controlling the vaginal and anal sphincters) and strengthening (isometric contraction of vaginal sphincters).

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Oct 14, 2016 | Posted by in RHEUMATOLOGY | Comments Off on K

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