Enfermedad de Kawasaki: afección cardiaca durante la infancia

Schroh, Ana M.; Domínguez, Pablo; Laghezza, Lidia B.; Melonari, Pablo; Olguín, Marisa; Miatello, Roberto

doi:10.1016/s0300-8932(06)74647-4

Cited by 9 publications

(5 citation statements)

References 12 publications

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“…In our study, the incidence of giant coronary aneurysms during the acute phase of Kawasaki disease was 8.1%, higher than that reported in studies from countries with a high prevalence of the disease, but similar to the incidence reported by Schroh et al 17 in Spain, where the incidence of giant coronary aneurysms was found to be 11.1%.…”

Section: Discussionsupporting

confidence: 88%

“…15,16 Despite the low incidence, they are a serious cause of concern because their presence affects the prognosis of the disease by increasing the risk for myocardial ischaemia, myocardial infarction, or sudden death. 5 In our study, the incidence of giant coronary aneurysms during the acute phase of Kawasaki disease was 8.1%, higher than that reported in studies from countries with a high prevalence of the disease, but similar to the incidence reported by Schroh et al 17 in Spain, where the incidence of giant coronary aneurysms was found to be 11.1%.…”

Section: Discussionsupporting

confidence: 87%

“…In Chile, Budnik et al 12 reported 32 cases of giant coronary artery aneurysms after Kawasaki disease over a period of 8 years at one tertiary reference centre. In Spain, Schroh et al evaluated 150 children diagnosed with Kawasaki disease over a period of 16 years, 17 and in France Lega et al 24 studied 194 patients with Kawasaki disease between 1988 and 2007, also in a tertiary reference centre. To our knowledge, this is the largest case series conducted in a single hospital in Latin America.…”

Section: Discussionmentioning

confidence: 99%

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Giant coronary artery aneurysms complicating Kawasaki disease in Mexican children

Garrido-Garcı́a¹,

Morán-Villaseñor²,

Yamazaki‐Nakashimada³

et al. 2017

Cardiol Young

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Giant coronary artery aneurysms complicating Kawasaki disease in Mexican children

Garrido-Garcı́a¹,

Morán-Villaseñor²,

Yamazaki‐Nakashimada³

et al. 2017

Cardiol Young

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“…No encontramos un predominio por sexo ni estacional. La mayoría de los casos correspondieron a formas completas de la enfermedad a diferencia de lo que señalan otros autores 2,7,8 .…”

Section: Discussionunclassified

“…El compromiso coronario se presenta con mayor frecuencia en varones, menores de un año, con período de inflamación prolongada o recurrencia de la fiebre luego de un período afebril. También suelen hallarse si el paciente presenta signos de isquemia, afección peri-endo o miocárdica o descenso del nivel plaquetario, albúmina y hematocrito respecto al nivel inicial 6,7,8,9,10 .…”

Section: Introductionunclassified

Afección coronaria en niños con enfermedad de Kawasaki

Battagliotti

Karakachoff

González

et al. 2013

Rev. Argent. Reumatol.

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Objetivo: La enfermedad de Kawasaki (EK) es una vasculitis frecuente en la infancia que puede producir aneurismas coronarios. Con el objetivo de describir las lesiones coronarias tanto en fase aguda como al año del diagnóstico, realizamos este estudio retrospectivo de 30 niños de 0 a 7 años con EK atendidos en nuestro centro, desde enero de 1990 a febrero de 2010. Resultados: Presentaron afección coronaria 7 pacientes. Cuatro de ellos varones. El 71,4% (n: 5) tenían EK completo. La edad media de inicio de los síntomas fue de 1,55 años (rango: 0,083-3). La mayoría de las lesiones fueron menores tales como la ectasia difusa o el aneurisma pequeño de ambas coronarias (n: 5). Estables al año de seguimiento. Dos varones de 19 días y 7 meses de edad presentaron lesiones mayores que correspondieron a los aneurismas múltiples y un aneurisma gigante persistente. La duración de la fiebre (p=0,04) y el retraso de aplicación de la gammaglobulina (p=0,025) pudo asociarse con afección coronaria. Conclusión: Alto índice de coronariopatías. La mayoría de las lesiones fueron menores tales como las ectasias difusas o los aneurismas pequeños estables al año de evolución. Las lesiones mayores correspondieron a los aneurismas múltiples y un aneurisma gigante persistente. La duración de la fiebre y el retraso en el tratamiento se asoció con mayor compromiso coronario. Recomendamos al médico mantener un alto índice de sospecha de esta enfermedad particularmente en los niños menores de un año de vida.

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Rising hospitalization rates of Kawasaki Disease in Chile between 2001 and 2007

et al. 2011

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Incidence of Kawasaki disease (KD) varies geographically, with highest rates in East Asia and comparatively lower rates in Europe and United States. Population-based epidemiologic studies of KD in Latin American countries have not been done. The purpose of this study is to determine demographic characteristics, hospitalization rates and estimated incidence of KD in Chile. We performed a retrospective review of national hospital discharge databases between 2001 and 2007 for patients younger than 18 years of age with KD (ICD10 code M30.3). Seven hundred and eighty-six hospitalizations with discharge diagnosis of KD were identified, representing 0.03% of hospitalizations. Median age of diagnosis was 1 year, and 85% of patients were younger than 5 years. Male-to-female ratio was 1.6:1. Highest hospitalization rates occurred in late winter/spring (August-November) with a smaller peak in summer (March). KD-associated hospitalization rate was 7.6 per 100,000 children younger than 5 years (95% CI 7.0-8.1). Hospitalization rates increased 47% between 2001-2004 and 2005-2007 periods: 6.3 (95% CI 5.6-7.0) to 9.3 (95% CI 8.3-10.3), (P < 0.001). Estimated incidence of KD, assuming 10% readmission rates, was 6.8 (95% CI 6.3-7.4), increasing from 5.7 (95% CI 5.0-6.3) in 2001-2004 to 8.4 (95% CI 7.4-9.3) in 2005-2007 (P < 0.001). In conclusion, demographic characteristics of Chilean patients with KD are similar to international data. There has been an increase in hospitalization rates and estimated incidence of KD in Chile between 2001 and 2007. This may reflect a true increase in cases or improved awareness.

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Enfermedad de Kawasaki: afección cardiaca durante la infancia

Cited by 9 publications

References 12 publications

Giant coronary artery aneurysms complicating Kawasaki disease in Mexican children

Giant coronary artery aneurysms complicating Kawasaki disease in Mexican children

Afección coronaria en niños con enfermedad de Kawasaki

Rising hospitalization rates of Kawasaki Disease in Chile between 2001 and 2007

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