Clinical characteristics and risk factors of coronary artery abnormities in infants with Kawasaki disease
10.3760/cma.j.issn.1673-4912.2019.11.007
- VernacularTitle: 婴儿川崎病的临床特点以及冠状动脉损伤危险因素分析
- Author:
Ce WANG
1
;
Xianyi YU
Author Information
1. Department of Pediatric Cardiology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, China
- Publication Type:Journal Article
- Keywords:
Infants;
Kawasaki disease;
Coronary artery abnormities;
Risk factors
- From:
Chinese Pediatric Emergency Medicine
2019;26(11):836-839
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics of Kawasaki disease in infants and explore the risk factors of coronary artery abnormities in Kawasaki disease.
Methods:The clinical data of 300 children with Kawasaki disease from January 1, 2018 to December 31, 2018 were retrospectively analyzed, including laboratory tests and coronary ultrasound results.The clinical characteristics of infants with Kawasaki disease and elderly children with Kawasaki disease were compared.The risk factors of coronary artery injury in infants with Kawasaki disease were analyzed.
Results:The majority of infants with Kawasaki disease were atypical Kawasaki disease, and the typical changes of conjunctival congestion, perianal changes and plaque were significantly higher than those of elderly children (P<0.01). Leukocyte count and platelet count were higher in the infant group, and the number of children with abnormal liver function was significantly higher than that in the older group (P<0.05). Coronary artery dilatation occurred in 11% of infants with Kawasaki disease, and most of them returned to normal within 3 months.Logistic model design was used to analyze the risk factors of coronary artery injury in infants with Kawasaki disease.It was found that boys and CRP increased significantly were the risk factors of coronary artery injury in infants with Kawasaki disease.
Conclusion:Infant Kawasaki disease has its own characteristics.The incidence of coronary artery injury is high.Timely diagnosis, differential diagnosis and symptomatic treatment may reduce the incidence of coronary artery injury.At the same time, follow-up should be maintained to monitor the changes of coronary artery by echocardiography.
