Kawasaki syndrome: the Iranian experience.
Experience with 50 cases of Kawasaki syndrome in the Islamic Republic of Iran is presented. The syndrome occurred mostly in winter and spring with a 2.1:1 male:female ratio. In 72% of cases, the disease occurred between 1 and 5 years of age, and 80% had an antecedent viral or bacterial illness. Eight patents (16%) had microbiological evidence of infection and 19 (38%) had clinical evidence. Five patients had clinical and radiological evidence of sinusitis. Leukocytosis, neutrophilia, bandaemia, elevated erythrocyte sedimentation rate, positive C-reactive protein, reversed albumin/globulin ratio and increased antistreptolysin O titre were other indications of infection and inflammation. Male gender, prolonged fever, white blood cell count > 15,000/mm3 and absolute granulocyte count > 10,000/mm3 were significant risk factors for the development of coronary artery disease (10 patients).
Sadeghi
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Department of Pediatrics, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Amin
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R
Ajamee
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GH
D000293:Adolescent; D017677:Age Distribution; D001424:Bacterial Infections / Q000150:complications; D002318:Cardiovascular Diseases / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007492:Iran / Q000453:epidemiology; D007958:Leukocyte Count; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology*; D010976:Platelet Count; D011159:Population Surveillance; D012307:Risk Factors; D012621:Seasons; D017678:Sex Distribution; D014777:Virus Diseases / Q000150:complications