Clinical and laboratory characteristics of children with Kawasaki disease

• Main Authors: Fatih Akın, Melike Emiroğlu, Ahmet Sert, Şükrü Arslan, Ece Selma Solak
• Format: Article
• Language: English
• Published: Dicle University Medical School 2015-03-01
• Series: Dicle Medical Journal
• Subjects: Kawasaki disease; vasculitis; BCG reaction
• Online Access: http://www.diclemedj.org/upload/sayi/35/Dicle%20Med%20J-02213.pdf
• ISSN: 1300-2945; 1308-9889

Objective: In this study, we aimed to evaluate clinical and laboratory characteristics of patients with Kawasaki disease (KD) in Konya region of Turkey. Methods: The hospital records of patients who were hospitalized with the diagnosis of KD in the Pediatrics Clinics of Konya Training and Research Hospital between May 2010 and June 2012 were reviewed retrospectively. Results: Seven cases were found to have the diagnosis of KD, two of whom were incomplete KD. Oropharynx changes were the most common (100%) feature in our patients. Five (71%) patients had bulbar conjunctivitis. Three (43%) patients had erythema at the site of BCG inoculation. Adenopathy was present in all of our patients with the classical form. A desquamation was observed in one case at the seventh day of fever. No cardiac manifestation was seen. Elevated erythrocyte sedimentation rate and thrombocytosis were present in all patients. All of the patients were received intravenous immunoglobulin in the first ten days of the fever. Conclusion: KD should be considered as a possible diagnosis in any child presenting with prolonged fever. BCG reaction can be attributed as a diagnostic criterion for incomplete form of the disease especially in countries where BCG vaccination is routinely performed. Early treatment is essential to prevent cardiovascular complications.