title: Mass survey for coronary lesions in school children with history of Kawasaki disease in Shimane Prefecture.
abstract: In 1981, a mass survey for Kawasaki disease was performed in Shimane Prefecture. The incidence of the disease was 0.3% in elementary and 0.1% in junior high schools, respectively. The number of children with a past history of Kawasaki disease was 40. Selective coronary arteriography (S-CAG) was performed on 37 children by December 1983 and 3 cases having coronary lesions were detected. In all these 3 children, more than 8 years had elapsed since the onset of the disease and in one of them there were severe stenotic changes in the coronary artery, with coexisting mitral incompetence. Two-dimensional echocardiography (2D echo) was able to detect dilatatory coronary lesions, but it failed to delineate stenotic changes adequately in these 3 cases. The present data indicate that 2D echo cannot demonstrate the stenotic segments of the coronary artery and therefore S-CAG is necessary for that purpose. We suggest coronary arteriography (CAG) for school children with a past history of Kawasaki disease.
mesh_terms: D000293:Adolescent; D002648:Child; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology*; D004452:Echocardiography; D006801:Humans; D007564:Japan; D008403:Mass Screening; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000453:epidemiology; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*