Abstract
Kawasaki disease (KD) is considered an important cause of acquired cardiovascular disease (CVD) in children. The early use of intravenous gammaglobulin (IVGG) could diminish both the incidence and severity of the coronary involvement (CI). We conducted a retrospective study of 60 patients who presented with KD between january 1987 and may 1999 with the objective of describing the CVD in our centre. 23 patients (38%) developed CVD. Of these 12 (20%) had CI (5 ectasia and 7 coronary aneurysms), pericarditis 15%, myocarditis 11.6% valvular involvement 1.6%, arrhytmia 3.3% and 1 myocardial infarction. There were no deaths. 43 out of 60 patients (71.6%) were treated with IVGG at a mean of 7.6 days. Of these 11 (25.5%) developed CI. 75% of the CI recovered spontaneously. In our study it is noticeable the high percentage of CI inspite of adequate treatment, but with a favourable evolution. Long term perspective studies are needed in order to evaluate the real CI due to childhood KD in adults.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
