DOI QR코드

DOI QR Code

Kawasaki disease in infants

  • Yeom, Jung Sook (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Woo, Hyang Ok (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Park, Ji Sook (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Park, Eun Sil (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Seo, Ji-Hyun (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Youn, Hee-Shang (Department of Pediatrics, Gyeongsang Institute of Health Science, Gyeongsang National University School of Medicine)
  • 투고 : 2013.02.12
  • 심사 : 2013.06.12
  • 발행 : 2013.09.15

초록

Kawasaki disease (KD) is an acute febrile illness that is the predominant cause of pediatric acquired heart disease in infants and young children. Because the diagnosis of KD depends on clinical manifestations, incomplete cases are difficult to diagnose, especially in infants younger than 1 year. Incomplete clinical manifestations in infants are related with the development of KD-associated coronary artery abnormalities. Because the diagnosis of infantile KD is difficult and complications are numerous, early suspicion and evaluation are necessary.

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참고문헌

  1. Melish ME. Kawasaki syndrome. Pediatr Rev 1996;17:153-62. https://doi.org/10.1542/pir.17-5-153
  2. Rowley AH, Shulman ST. Kawasaki syndrome. Pediatr Clin North Am 1999;46:313-29. https://doi.org/10.1016/S0031-3955(05)70120-6
  3. Burns JC, Wiggins JW Jr, Toews WH, Newburger JW, Leung DY, Wilson H, et al. Clinical spectrum of Kawasaki disease in infants younger than 6 months of age. J Pediatr 1986;109:759-63. https://doi.org/10.1016/S0022-3476(86)80689-8
  4. Chang FY, Hwang B, Chen SJ, Lee PC, Meng CC, Lu JH. Characteristics of Kawasaki disease in infants younger than six months of age. Pediatr Infect Dis J 2006;25:241-4. https://doi.org/10.1097/01.inf.0000202067.50975.90
  5. Yanagawa H, Nakamura Y, Yashiro M, Ojima T, Tanihara S, Oki I, et al. Results of the nationwide epidemiologic survey of Kawasaki disease in 1995 and 1996 in Japan. Pediatrics 1998;102:E65. https://doi.org/10.1542/peds.102.6.e65
  6. Park YW, Han JW, Park IS, Kim CH, Cha SH, Ma JS, et al. Epidemiologic study of Kawasaki disease in 6 months old and younger infants. Korean J Pediatr 2008;51:1320-3. https://doi.org/10.3345/kjp.2008.51.12.1320
  7. Park YW, Han JW, Park IS, Kim CH, Cha SH, Ma JS, et al. Clinical and epidemiologic study of Kawasaki disease in children 8 years of age and older. Korean J Pediatr 2005;48:1139-42.
  8. Iino M, Shiraishi H, Igarashi H, Honma Y, Momoi MY. Case of Kawasaki disease in NICU. Pediatr Int 2003;45:580-3. https://doi.org/10.1046/j.1442-200X.2003.01766.x
  9. Yellen ES, Gauvreau K, Takahashi M, Burns JC, Shulman S, Baker AL, et al. Performance of 2004 American Heart Association recommendations for treatment of Kawasaki disease. Pediatrics 2010; 125:e234-41. https://doi.org/10.1542/peds.2009-1465
  10. Neuwirth CA, Singh H. Intercostal artery aneurysm in a child with Kawasaki disease and known coronary artery aneurysms. J Vasc Interv Radiol 2010;21:952-3. https://doi.org/10.1016/j.jvir.2010.01.045
  11. JCS Joint Working Group. Guidelines for diagnosis and management of cardiovascular sequelae in Kawasaki disease (JCS 2008): digest version. Circ J 2010;74:1989-2020. https://doi.org/10.1253/circj.CJ-10-74-0903
  12. Fukazawa R. Long-term prognosis of Kawasaki disease: increased cardiovascular risk? Curr Opin Pediatr 2010;22:587-92.
  13. Rowley AH, Gonzalez-Crussi F, Shulman ST. Kawasaki syndrome. Curr Probl Pediatr 1991;21:387-405. https://doi.org/10.1016/0045-9380(91)90008-9
  14. Newburger JW, Takahashi M, Gerber MA, Gewitz MH, Tani LY, Burns JC, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics 2004;114:1708-33. https://doi.org/10.1542/peds.2004-2182
  15. Dajani AS, Taubert KA, Gerber MA, Shulman ST, Ferrieri P, Freed M, et al. Diagnosis and therapy of Kawasaki disease in children. Circulation 1993;87:1776-80. https://doi.org/10.1161/01.CIR.87.5.1776
  16. Kato H, Sugimura T, Akagi T, Sato N, Hashino K, Maeno Y, et al. Long-term consequences of Kawasaki disease: a 10- to 21-year follow-up study of 594 patients. Circulation 1996;94:1379-85. https://doi.org/10.1161/01.CIR.94.6.1379
  17. Kim SH, Kim KH, Kim DS. Clinical characteristics of Kawasaki disease according to age at diagnosis. Indian Pediatr 2009;46:585-90.
  18. Council on Cardiovascular Disease in the Young; Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease; American Heart Association. Diagnostic guidelines for Kawasaki disease. Circulation 2001;103:335-6. https://doi.org/10.1161/01.CIR.103.2.335
  19. Japan Kawasaki Disease Research Center, Japan Kawasaki Disease Research Committee. Diagnostic guidelines of Kawasaki disease [Internet]. Tokyo: Japan Kawasaki Disease Research Center, Japan Kawasaki Disease Research Committee; c2012 [cited 2011 Aug 15]. Available from: http://Kawasaki-disease.org/diagnostic/.
  20. Research Committee on Kawasaki Disease, Report of Subcommittee on Standardization of Diagnostic Criteria and Reporting of Coronary Artery Lesions in Kawasaki Disease. Tokyo: Ministry of Health and Welfare, 1984.
  21. McCrindle BW, Li JS, Minich LL, Colan SD, Atz AM, Takahashi M, et al. Coronary artery involvement in children with Kawasaki disease: risk factors from analysis of serial normalized measurements. Circulation 2007;116:174-9. https://doi.org/10.1161/CIRCULATIONAHA.107.690875
  22. Belay ED, Maddox RA, Holman RC, Curns AT, Ballah K, Schonberger LB. Kawasaki syndrome and risk factors for coronary artery abnormalities: United States, 1994-2003. Pediatr Infect Dis J 2006;25:245-9. https://doi.org/10.1097/01.inf.0000202068.30956.16
  23. Song D, Yeo Y, Ha K, Jang G, Lee J, Lee K, et al. Risk factors for Kawasaki disease-associated coronary abnormalities differ depending on age. Eur J Pediatr 2009;168:1315-21. https://doi.org/10.1007/s00431-009-0925-0
  24. Limbach HG, lindinger A. Das Kawasaki-syndrome bei Sauglingen im ersten Leganshalbjahr. Klin Padiatr 1991;203:113-6. https://doi.org/10.1055/s-2007-1025411
  25. Hsiao JY, Chen MR, Huang FY, Kao HA, Sung TC. Clinical analysis of Kawasaki disease in infants below 6 months of age. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1988;29:318-23.
  26. Yeom JS, Park JS, Seo JH, Park ES, Lim JY, Park CH, et al. Initial characteristics of Kawasaki disease with cerebrospinal fluid pleocytosis in febrile infants. Pediatr Neurol 2012;47:259-62. https://doi.org/10.1016/j.pediatrneurol.2012.06.011
  27. Do HJ, Baek JG, Kim HJ, Yeom JS, Park JS, Park ES, et al. Kawasaki disease presenting as parotitis in a 3-month-old infant. Korean Circ J 2009;39:502-4. https://doi.org/10.4070/kcj.2009.39.11.502
  28. Sudo D, Monobe Y, Yashiro M, Mieno MN, Uehara R, Tsuchiya K, et al. Coronary artery lesions of incomplete Kawasaki disease: a nationwide survey in Japan. Eur J Pediatr 2012;171:651-6. https://doi.org/10.1007/s00431-011-1630-3
  29. Sundel R. Kawasaki disease: clinical features and diagnosis [Internet]. Waltham: UpToDate Inc.; 2008 [cited 2011 Aug 15]. Available from: http://www.uptodate.com/contents/kawasaki-diseaseclinical- features-and-diagnosis?detectedLanguage=en&source=search_result&search=Clinical+manifestations+and+diagnosis+of+Kawasaki+disease&selectedTitle=1%7E150&provider=noProvider.
  30. Liu HC, Lo CW, Hwang B, Lee PC. Clinical manifestations vary with different age spectrums in infants with Kawasaki disease. ScientificWorldJournal 2012;2012:210382.
  31. Nigrovic LE, Nigrovic PA, Harper MB, Chiang VW. Extreme thrombocytosis predicts Kawasaki disease in infants. Clin Pediatr (Phila) 2006;45:446-52. https://doi.org/10.1177/0009922806289621
  32. Witt MT, Minich LL, Bohnsack JF, Young PC. Kawasaki disease: more patients are being diagnosed who do not meet American Heart Association criteria. Pediatrics 1999;104:e10. https://doi.org/10.1542/peds.104.1.e10
  33. Minich LL, Sleeper LA, Atz AM, McCrindle BW, Lu M, Colan SD, et al. Delayed diagnosis of Kawasaki disease: what are the risk factors? Pediatrics 2007;120:e1434-40. https://doi.org/10.1542/peds.2007-0815
  34. Burns JC, Mason WH, Glode MP, Shulman ST, Melish ME, Meissner C, et al. Clinical and epidemiologic characteristics of patients referred for evaluation of possible Kawasaki disease. United States Multicenter Kawasaki Disease Study Group. J Pediatr 1991;118:680-6. https://doi.org/10.1016/S0022-3476(05)80026-5
  35. Forsey J, Mertens L. Atypical Kawasaki disease: a clinical challenge. Eur J Pediatr 2012;171:609-11. https://doi.org/10.1007/s00431-011-1629-9
  36. Yu JJ. Diagnosis of incomplete Kawasaki disease. Korean J Pediatr 2012;55:83-7. https://doi.org/10.3345/kjp.2012.55.3.83
  37. Yanagawa H, Nakamura Y, Yashiro M, Oki I, Hirata S, Zhang T, et al. Incidence survey of Kawasaki disease in 1997 and 1998 in Japan. Pediatrics 2001;107:E33. https://doi.org/10.1542/peds.107.3.e33
  38. Dominguez SR, Anderson MS, El-Adawy M, Glode MP. Preventing coronary artery abnormalities: a need for earlier diagnosis and treatment of Kawasaki disease. Pediatr Infect Dis J 2012;31:1217-20. https://doi.org/10.1097/INF.0b013e318266bcf9
  39. Lee EJ, Park YW, Hong YM, Lee JS, Han JW. Epidemiology of Kawasaki disease in infants 3 months of age and younger. Korean J Pediatr 2012;55:202-5. https://doi.org/10.3345/kjp.2012.55.6.202
  40. Burns JC, Glode MP. Kawasaki syndrome. Lancet 2004;364:533-44. https://doi.org/10.1016/S0140-6736(04)16814-1
  41. Manlhiot C, Christie E, McCrindle BW, Rosenberg H, Chahal N, Yeung RS. Complete and incomplete Kawasaki disease: two sides of the same coin. Eur J Pediatr 2012;171:657-62. https://doi.org/10.1007/s00431-011-1631-2
  42. Sonobe T, Kiyosawa N, Tsuchiya K, Aso S, Imada Y, Imai Y, et al. Prevalence of coronary artery abnormality in incomplete Kawasaki disease. Pediatr Int 2007;49:421-6. https://doi.org/10.1111/j.1442-200X.2007.02396.x
  43. Chuang CH, Hsiao MH, Chiu CH, Huang YC, Lin TY. Kawasaki disease in infants three months of age or younger. J Microbiol Immunol Infect 2006;39:387-91.
  44. Rowley AH, Gonzalez-Crussi F, Gidding SS, Duffy CE, Shulman ST. Incomplete Kawasaki disease with coronary artery involvement. J Pediatr 1987;110:409-13. https://doi.org/10.1016/S0022-3476(87)80503-6
  45. No SJ, Kim DO, Choi KM, Eun LY. Do predictors of incomplete Kawasaki disease exist for infants? Pediatr Cardiol 2013;34:286-90. https://doi.org/10.1007/s00246-012-0440-3

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