Abstract
Background: Diagnosis of Kawasaki disease (KD) is sometimes doubtful. Chest x-ray examination is easily available and relatively not expensive. However, its role in the diagnosis of Kawasaki disease according to some studies, is not significant.So far we have no data from Indonesia. Objective: To know the chest x-ray patterns in acute KD patients. Methods: We studied chest x-ray films of KD children at acute stage from January 2003 till July 2013 which were taken consecutively in 5 hospitals. All cases were treated by the author. All films were seen and confirmed by radiologists. Results: We analyzed chest x-ray films (antero-posterior view) of 503 KD patients at acute stage, age ranging from 33 days to 16 years. The results were that 335 (67%) of them showed abnormalities, of which almost all showed infiltrates in bilateral lung fields especially in perihillar and paracardial regions. Only one case showed lobar pneumonia pattern and another with pleural effusion. Only 31 (10.8%) patients with chest x-ray abnormalities clinically showed respiratory signs and symptoms such as cough and running nose. Conclusion: It is concluded that the presence of pulmonary infiltrates in chest x-ray may be of value in supporting the diagnosis of KD, especially in doubtful or incomplete cases.
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