An Epidemiologic Study of Kawasaki Disease(1987-2000): Incidence of Coronary Artery Complication in the Acute Stage.
- Author:
Kyung Yil LEE
1
;
Min Young PARK
;
Ji Whan HAN
;
Hyung Shin LEE
;
Jin CHOI
;
Kyung Tai WHANG
Author Information
1. Department of Pediatric, College of Medicine, The Catholic University of Korea, Seoul, Korea. leekyungyil@yahoo.com
- Publication Type:Original Article
- Keywords:
Kawasaki disease;
Epidemiology;
Coronary artery;
Complication
- MeSH:
Child;
Coronary Vessels*;
Epidemiologic Studies*;
Epidemiology;
Female;
Humans;
Immunoglobulins, Intravenous;
Incidence*;
Korea;
Male;
Medical Records;
Mucocutaneous Lymph Node Syndrome;
Recurrence;
Retrospective Studies;
Siblings
- From:Journal of the Korean Pediatric Society
2002;45(6):783-789
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the epidemiologic characteristics and incidence of coronary artery sequele of children with KD according to treatment. METHODS: We retrospectively analyzed 506 medical records of children with KD, who were admitted at Daejeon St. Mary's Hospital from Jan. 1987 to Dec. 2000. RESULTS: The mean annual incidence was 36.1+/-11.1 cases per year. There was a slightly higher occurrence in summer with no significant difference in monthly incidence. The mean age was 2.4+1.7 years and 450 children(88.9%) were below four years of age. The male to female ratio was 1.7 : 1. When the 345 cases between 1987 and 1994 were divided into three groups according to treatment, incidences of the coronary abnormality(above grade II) of aspirin-treated(54 cases; 15.6%), divided-intravenous immunoglobulin(IVIG) treated(400-500 mg/dayX4-5 days, 224 cases; 64.9%), and one-dose IVIG treated(2.0 g/day, 67 cases; 19.5%) groups were 8.3%, 6.0%, and 7.5%, respectively. Between 1995 and 2000, 143 cases were treated with only one-dose IVIG and 21 cases(14.7%) showed coronary artery abnormalities(grade I, 15 cases; grade II, two cases; and grade III, four cases). Among the 143 cases, 22 cases(15.1%) were retreated with IVIG and/or steroid pulse therapy. The incidence of coronary artery abnormality in this group was 50.0%. Incidences of cases in recurrence and among siblings were 0.6% and 0.4% respectively. There was no fatal case. CONCLUSION: In Daejeon, Korea, the epidemiologic feature of KD showed slight annual variations without monthly differences. The incidence of coronary abnormality with one-dose IVIG therapy was 14.7%. The nonresponse of this therapy was 15.1% with a coronary abnormality of 50.0%.
