Kawasaki Disease: An Epidemiological and Clinical Study
,
Abstract
To review children with Kawasaki disease admitted in 17-Shahrivar hospital of Rasht from 1999 to 2007. We reviewed retrospectively 64 children with Kawasaki disease between 1999-2007 admitted in 17-Shahrivar Hospital of Rasht. Frequency distributions of variants including age, sex, season, clinical and laboratory manifestations, response to treatment and complications of the patients were abstracted using SPSS 14. Patients' age ranged from 2 month to 12 years (median: 41.5 months). The male / female ratio was 1:0.78. The most cases were admitted in the autumn and then spring. Fever in 100%, changes in lip and mouth in 92.1%, rash in 87.5%, Conjunctivitis in 82.8%, changes in extremities in 67.1%, and cervical lymphadenopathy in 59.3% were present. Coronary aneurysm was found in one case. The most common extracardiac complication in this study was vomiting (85.7%). With respect to Kawasaki disease differential diagnosis and its treatment, Better knowledge can help us to make diagnosis more accurately.
Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugi 1967;16(3):178-222.
Yanagawa H, Nakamura Y, Yashiro M, Uehara R, Oki I,Kayaba K. Incidence of Kawasaki disease in Japan: the nationwide surveys of 1999-2002. Pediatr Int 2006; 48(4):356-61.
Park YW, Han JW, Park IS, Kim CH, Cha SH, Ma JS, et al. Kawasaki disease in Korea, 2003-2005. Pediatr InfectDis J 2007;26(9):821-3.
Chang LY, Chang IS, Lu CY, Chiang BL, Lee CY, ChenPJ, et al. Epidemiologic features of Kawasaki disease in Taiwan, 1996-2002. Pediatrics 2004;114(6):e678-82.
Du ZD, Zhao D, Du J, Zhang YL, Lin Y, Liu C, et al. Epidemiologicstudy on Kawasaki disease in Beijing from2000 through 2004. Pediatr Infect Dis J 2007;26(5):449-51.
Ng YM, Sung RY, So LY, Fong NC, Ho MH, Cheng YW,et al. Kawasaki disease in Hong Kong, 1994 to 2000.Hong Kong Med J 2005;11(5):331-5.
Newburger JW, Taubert KA, Shulman ST, Rowley AH, Gewitz MH, Takahashi M, et al. Summary and abstractsof the Seventh International Kawasaki Disease Symposium: December 4-7, 2001, Hakone, Japan. Pediatr Res 2003;53(1):153-7.
Holman RC, Curns AT, Belay ED, Steiner CA, Schonberger LB. Kawasaki syndrome hospitalizations in the United States, 1997 and 2000. Pediatrics 2003;112(3 Pt 1):495-501.
Belay ED, Maddox RA, Holman RC, Curns AT, Ballah K, Schonberger LB. Kawasaki syndrome and risk factors forcoronary artery abnormalities: United States, 1994-2003.Pediatr Infect Dis J 2006;25(3):245-9.
Holman RC, Curns AT, Belay ED, Steiner CA, Effler PV,Yorita KL, et al. Kawasaki syndrome in Hawaii. PediatrInfect Dis J 2005;24(5):429-33.
Heaton P, Wilson N, Nicholson R, Doran J, Parsons A, Aiken G. Kawasaki disease in New Zealand. J Paediatr Child Health 2006;42(4):184-90.
Lynch M, Holman RC, Mulligan A, Belay ED, Schonberger LB. Kawasaki syndrome hospitalizations in Ireland, 1996 through 2000. Pediatr Infect Dis J2003;22(11):959-63.
Burns JC, Cayan DR, Tong G, Bainto EV, Turner CL, Shike H, et al. Seasonality and temporal clustering of Kawasaki syndrome. Epidemiology 2005;16(2):220-5.
Park YW, Han JW, Park IS, Kim CH, Cha SH, Ma JS, et al. Kawasaki disease in Korea, 2003-2005. Pediatr Infect Dis J 2007;26(9):821-3.
Chang LY, Chang IS, Lu CY, Chiang BL, Lee CY, Chen PJ, et al. Epidemiologic features of Kawasaki disease in Taiwan, 1996-2002. Pediatrics 2004;114(6):e678-82.
Burns JC, Glodé MP. Kawasaki syndrome. Lancet 2004;364(9433):533-44.
| Files | ||
| Issue | Vol 47, No 6 (2009) | |
| Section | Original Article(s) | |
| Keywords | ||
| Epidemiology mucocutaneous lymph node syndrome | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
