En Cataluña la enfermedad de Kawasaki es más prevalente en las zonas rurales

Sánchez-Manubens, Judith; Antón, Jordi; Bou, Rosa; Iglesias, E.; Calzada-Hernández, Joan; Rodó, Xavier; Morguí, Josep-Antón

doi:10.1016/j.anpedi.2016.12.009

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…Similar to US studies, migration studies performed in the United Kingdom and Spain showed a higher incidence for children with an Asian origin than white peers ( 22 , 24 , 31 ). In England, a significant association was found between Chinese ethnicity and incidence of KD, peaking at 13.6 instead of 6.6 in areas with more than 1% of the population of Chinese ethnicity as compared with areas with low (<0.18) population of Chinese ethnicity ( 24 ).…”

Section: Ethnicity and Migration Studiessupporting

confidence: 70%

“…However, no children were Chinese, Japanese, or from other countries in the east of the Indian subcontinent but rather were of Indian, Pakistani, or Bangladeshi origin. In Spain, KD was more common in Asian and North African children ( 31 ).…”

Section: Ethnicity and Migration Studiesmentioning

confidence: 99%

“…In Catalonia, Spain, most of the cases were concentrated in the most densely populated areas around Barcelona, but a significant difference was observed for the 11.5% of patients living in rural areas vs. the expected 5% for the Catalan population according to the national census. Therefore, the authors concluded that KD was more prevalent in rural than urban areas of Catalonia ( 31 ). The incidence of KD was not related to population density in Italian regions, and the authors wondered if the higher incidence in some regions might reflect better reporting ( 19 ).…”

Section: Geographic Variationsmentioning

confidence: 99%

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Epidemiology of Kawasaki Disease in Europe

Piram

2021

Front. Pediatr.

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Aim of the review: To review major epidemiological aspects of Kawasaki disease (KD) in Europe, describing demographic characteristics, revising its incidence along with time trends and geographic variations, and describing migration studies to provide clues about its etiology.Recent findings: The annual incidence of KD in Europe is about 10–15 per 100,000 children under 5 years old and seems to be relatively stable over time and space. Demographic characteristics are in line with those in other countries of the world, with a higher incidence in children from Asia and possibly North African origin. All studies performed across Europe found a coherent seasonal distribution of KD onset peaking from winter to early spring. This seasonal distribution was consistent over the years and suggests a climate-related environmental trigger. The occurrence of peaks during pandemics, microbiological findings and a possible link with southerly winds support the hypothesis of an airborne infectious agent. Neither other airborne agents such as pollutants or pollens nor urbanization and industrialization seem to have major effect on the etiology.Conclusion: Discrepancies in KD incidence rates across studies were due more to methodological differences, variation in definitions and awareness of the disease than a real increase in incidence. Genetic predisposition is undeniable in KD, but environmental factors seem to play a pivotal role. Several lines of evidence support a non-exclusive airborne infectious agent with a protective immune response by the host as a key factor in inducing the inflammatory cascade responsible for symptoms and complications.

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Section: Ethnicity and Migration Studiessupporting

confidence: 70%

Section: Ethnicity and Migration Studiesmentioning

confidence: 99%

Section: Geographic Variationsmentioning

confidence: 99%

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Epidemiology of Kawasaki Disease in Europe

Piram

2021

Front. Pediatr.

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“…La etiología de la EK todavía se desconoce, aunque sus características clínicas, analíticas y epidemiológicas sugieren un origen o desencadenante infeccioso 3 . De igual forma, es bien conocido el hecho de que la EK es la causa más común de enfermedad cardíaca adquirida, que por lo general se desarrolla antes de los cinco años de edad 1 .…”

Section: Introductionunclassified

“…La etiología de la EK todavía se desconoce, aunque se piensa en un origen o desencadenante infeccioso 3,6 , y es que incluso, en las hipótesis con Conclusión: la enfermedad de Kawasaki y el síndrome inflamatorio multisistémico poseen similitud en cuanto a manifestaciones clínicas se refiere, así como también, de acuerdo a las hipótesis, podrían estar explicadas por una infección viral como desencadenante de la enfermedad; ambas presentan afectación a nivel ocular, gastrointestinal y cardíaca.…”

Section: Introductionunclassified

Síndrome inflamatorio sistémico asociado a Covid-19 y la enfermedad de Kawasaki. Una revisión bibliográfica

Pozo

Rosado

2021

cysa

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Introducción: la enfermedad de Kawasaki (EK) se define como una vasculitis multisistémica aguda y autolimitada asociada a lesiones coronarias. Los primeros casos se observaron en Japón a finales de 1960 y recibió dicho nombre debido al médico japonés que la describió por primera vez en el año 1967, Tomisaku Kawasaki. El síndrome inflamatorio multisistémico (SIM-C) se define como una patología que afecta generalmente a niños y adolescentes de 0 a 19 años, caracterizada por presencia de fiebre desde hace tres días o más y dos de los criterios diagnósticos establecidos. Objetivo: determinar y establecer las asociaciones clínicas entre el síndrome inflamatorio multisistémico asociado a Covid-19 y la enfermedad de Kawasaki. Metodología: estudio comparativo e informativo, en donde se analizaron 16 fuentes bibliográficas para establecer asociaciones entre el síndrome inflamatorio multisistémico vinculado a Covid-19 y la enfermedad de Kawasaki. Conclusión: la enfermedad de Kawasaki y el síndrome inflamatorio multisistémico poseen similitud en cuanto a manifestaciones clínicas se refiere, así como también, de acuerdo a las hipótesis, podrían estar explicadas por una infección viral como desencadenante de la enfermedad; ambas presentan afectación a nivel ocular, gastrointestinal y cardíaca.

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