Abstract
The risk of ethnic Kawasaki disease (KD) has been proposed to be associated with blood mercury levels in American children. We investigated the blood levels of mercury in children with KD and their association with disease outcome. The mercury levels demonstrated a significantly negative correlation with sodium levels (p = 0.007). However, data failed to reach a significant difference after excluding the child with blood mercury exceeding the toxic value. The findings indicate that KD patients with lower sodium concentrations had a remarkably higher proportion of intravenous immunoglobulin (IVIG) resistance (p = 0.022). Our patients who had lower mercury levels (<0.5 μg/L) had more changes in bacille Calmette-Guerin. Mercury levels in 14/14 patients with coronary artery lesions and 4/4 patients with IVIG resistance were all measured to have values greater than 1 μg/L (while average values showed 0.92 μg/L in Asian American children). Mercury levels had no correlations with IVIG resistance or coronary artery lesion (CAL) formation (p > 0.05). CAL development was more common in the incomplete group than in the complete KD group (p = 0.019). In this first report about mercury levels in KD patients, we observed that the juvenile Taiwanese had higher mercury concentration in blood compared to other populations.
Highlights
Kawasaki disease (KD) has become more prevalent in recent years and is the most common cause of pediatric acquired heart diseases [1]
We found that mercury concentration in the peripheral blood was highest in KD-vulnerable Asian American children and lowest in Caucasian Americans [5]
We identified a comparable concentration of total mercury in the whole blood of populations susceptible to KD in the literature published in English
Summary
Kawasaki disease (KD) has become more prevalent in recent years and is the most common cause of pediatric acquired heart diseases [1]. Public Health 2020, 17, 3726; doi:10.3390/ijerph17103726 www.mdpi.com/journal/ijerph
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