title: [Kawasaki disease. Analysis of 17 cases].
abstract: BACKGROUND
  Kawasaki disease (EK) is frequently identified in pediatric patients. It affects principally the coronary arteries, causing aneurysms, ischemic heart disease and sudden death. The opportune diagnosis and its early treatment avoid these complications. Our objective was to describe 17 cases with EK.
  
  
  METHODS
  seventeen patients' files with EK were reviewed, obtaining information about age, sex, date of admission, clinical manifestations, laboratory results, complications and treatment.
  
  
  RESULTS
  four patients presented coronary aneurysm. The average age was 37 months, with a range from 15 months to 11 years. There was a predominance of males, with relation 2.4 to 1.
  
  
  CONCLUSIONS
  the EK was not considerated initially; on post-mortem studies, affected coronary arteries were demonstrated. The EK treatment is intravenous gamma-globulin and aspirin and it must be established before the tenth day after the fever begins in order to avoid cardiac complications. Four cases developed AC remitted after 16 months. The EK diagnosis is predominantly clinical.
authors.affiliation: Hospital General Regional 46, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. gonzaquezada_@hotmail.com
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Quezada-Chavarría
authors.forename: Raymundo
authors.initials: R
authors.lastname: Ramírez-Serrallonga
authors.forename: Scarlett Elizabeth
authors.initials: SE
authors.lastname: Quezada-Cuevas
authors.forename: Jorge
authors.initials: J
authors.lastname: Salazar-Salas
authors.forename: Ignacia
authors.initials: I
authors.lastname: Fernández-Gómez
authors.forename: Ramiro Israel
authors.initials: RI
authors.lastname: Esparza-Pérez
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis / Q000188:drug therapy