THE RETROSPECTIVE EVALUATION OF CASES DIAGNOSED WITH KAWASAKI DISEASE

Abstract

Aim: Kawasaki disease (KD) is an acute febrile disease of childhood with vasculitis. We aimed to evaluate the epidemiological and clinical characteristics of KD cases diagnosed and treated in the Pediatric Clinic of our hospital in the last decade. Material and Method: Forty five patients diagnosed with KD and treated between 01 January 2010 and 01 January 2020 was included in the study. The demographic characteristics, clinical and laboratory findings, and treatment processes of the patients were evaluated retrospectively. Results: Of the 45 patients 23 (51.2%) were male. The mean age was 35.26 ± 28.16 months. The average duration of fever was 7,16±3.5 day. The patients were most frequently admitted in the spring (31.1%; 14 patients), and winter (31.1%; 14 patients). Twenty two (71.1%) of the patients diagnosed as complete KD, 13 (28.8%) patients were diagnosed as incomplete KD. While coronary involvement was present in 16 patients (35.5%), 29 patients (64.4%) didn’t. The mean platelet count was higher in patients with coronary involvement (p=0.006). Conclusion: Cardiac involvement was observed at a rate of 35.5%. Platelet levels were higher in those with cardiac involvement. Considering that the platelet level increases in the subacute period in KD, it can be inferred as a result of an increase in cardiac involvement in patients who were admitted to the hospital late. Therefore the awareness of pediatricians about incomplete KD forms should be increased in addition to KD.