Kawasaki syndrome in Chinese children.
A retrospective analysis of the clinical features and outcome of 39 Chinese children with Kawasaki syndrome was made. The mean age of onset was 2.7 years (range: 0.2-13 years). The male:female ratio was 2.9:1. One child presented with nephrotic syndrome. This renal manifestation has not been described in Kawasaki disease. Ten (32%) out of 31 patients were found to have coronary aneurysms by cross-sectional echocardiography. The only significant risk factor detected in this group of patients was anaemia (P less than 0.007). There was one (2.5%) death from acute myocardial infarction and the rest of the patients were clinically well with a mean follow-up period of 1 year (mean: 5-40 days). This study indicates that there is a high incidence of coronary aneurysm complicating Kawasaki syndrome in Chinese comparable with that reported in Japanese children.
Lee
B W
BW
Department of Paediatrics, National University of Singapore, Kent Ridge, Republic of Singapore.
Tay
J S
JS
Yip
W C
WC
Yap
H K
HK
Chan
K Y
KY
Low
P S
PS
D002675:Child, Preschool; D002681:China / Q000208:ethnology; D003323:Coronary Aneurysm / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012846:Singapore