Clinical and epidemiological characteristics of children with Kawasaki disease in Turkey.
BACKGROUND
Kawasaki disease (KD) is the leading cause of acquired heart disease in childhood in the developed countries. The objective of this study is to describe the clinical and epidemiological characteristics of children with KD in Turkey.


METHODS
The medical records of 24 patients treated for KD between January 1994 and June 2009 at Ankara University Medical School, Turkey were reviewed.


RESULTS
The male-to-female ratio was 1.4 : 1. The median age at diagnosis was 2 years (range: 6.5 months to 11 years). Conjunctivitis and changes in the lips and oral cavity were seen in 21/24 (87.5%), cervical lymphadenopathy 17/24 (70.8%), polymorphous rash 16/24 (66.7%) and peripheral changes in 12/24 (50%). Coronary artery abnormality (CAA) was observed in 8/24 (33.3%) cases. CAA was seen in both the complete and incomplete groups with similar frequency (31.3% vs. 37.5%, respectively).


CONCLUSIONS
KD must be kept in mind in the differential diagnosis of infants with prolonged fever.
Ozdemir
Halil
H
Department of Pediatrics, Ankara University Medical School, Dikimevi, Ankara, Turkey. doktorhalil@gmail.com
Ciftçi
Ergin
E
Tapisiz
Anil
A
Ince
Erdal
E
Tutar
Ercan
E
Atalay
Semra
S
Dogru
Ulker
U
D017677:Age Distribution; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D001241:Aspirin / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D004305:Dose-Response Relationship, Drug; D005260:Female; D005334:Fever / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage*; D007155:Immunologic Factors / Q000008:administration & dosage*; D015994:Incidence; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D012737:Sex Factors; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology; D014657:Vasculitis / Q000453:epidemiology / Q000209:etiology
D000894:Anti-Inflammatory Agents, Non-Steroidal; D016756:Immunoglobulins, Intravenous; D007155:Immunologic Factors; D001241:Aspirin