title: [Kawasaki disease: a clinical serie].
abstract: BACKGROUND
  Kawasaki disease (KD) is a serious disease in children due to its potential complications and sequelae if not promptly and adequately managed.
  
  
  OBJECTIVE
  To describe clinical and epidemiological characteristics of children hospitalized due to KD at a tertiary care center and identify risk factors for poor outcome.
  
  
  METHODS
  Retrospective and descriptive study of 32 medical records of patients hospitalized with diagnosis of KD at a tertiary care center of Santiago, Chile between February 1999 and May 2007.
  
  
  RESULTS
  The annual frequency was of 5 cases, mainly boys and during spring. The median age at diagnosis was 1.5 years and 87.5% of the children were younger than 5 years. Typical presentation prevailed in all ages (68,7%). Coronary artery affection, including dilatation or aneurisms, occurred in 21.9% of the cases, with aneurysms in 3 cases. All patients were treated with aspirin and intravenous immunoglobulin (IVIG); 4 patients required a second dose. No deaths were reported. The identified risk factors for poor outcome were age older than 5 years and hypoalbuminemia.
  
  
  CONCLUSIONS
  KD is an infrequent disease that mainly occurs in children younger than 5 years and with a typical presentation. There are risk factors associated with poor outcome.
authors: Facultad de Medicina, Universidad de los Andes, Santiago, Chile. isolbudnik@gmail.com
authors: Isolda
authors: I
authors: Budnik O
authors: Tamara
authors: T
authors: Hirsch B
authors: Carlos
authors: C
authors: Fernández C
authors: Leticia
authors: L
authors: Yánez P
authors: Juanita
authors: J
authors: Zamorano R
mesh_terms: D001241:Aspirin / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002677:Chile / Q000453:epidemiology; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012621:Seasons; D012720:Severity of Illness Index; D014505:Urban Population
chemical_list: D016756:Immunoglobulins, Intravenous; D001241:Aspirin