title: Diagnosis of incomplete kawasaki disease in infants based on an inflammation at the bacille calmette-guérin inoculation site.
abstract: OBJECTIVE
  This study was intended to test how the inflammation at the Bacille Calmette-Guérin (BCG) inoculation site (BCGitis) can be a useful a diagnostic feature of Kawasaki disease (KD).
  
  
  METHODS
  All subjects were infants at the time of admission, and had received BCG vaccination during their neonatal period. There were 54 patients with complete KD (group 1) and 29 patients with incomplete KD (group 2). All 83 patients had BCGitis during the acute phase of illness. Data regarding the coronary artery diameters in 31 age-matched controls were used for comparison.
  
  
  RESULTS
  The 2 patient groups did not differ in clinical and laboratory variables. During the acute phase, the median z scores of the left anterior descending coronary artery (LAD) diameter were 0.20, 0.42, and -0.48 in groups 1, 2, and control respectively, and that of right coronary artery (RCA) diameters were -0.15, -0.16, and -1.17 respectively. The z scores in both patient groups were greater than those in controls (p=0.0014 in LAD and p<0.0001 in RCA between group 1 and controls; p=0.0023 in LAD and p<0.0001 in RCA between group 2 and controls). A similar pattern was observed during the subacute and convalescent phases.
  
  
  CONCLUSIONS
  BCGitis is a useful feature in the diagnosis of incomplete KD in infants who received BCG vaccine during neonatal period.
authors: Department of Pediatrics, College of Medicine, University of Ulsan, Seoul, Korea.
authors: Ji Hye
authors: JH
authors: Seo
authors: Jeong Jin
authors: JJ
authors: Yu
authors: Hong Ki
authors: HK
authors: Ko
authors: Hyung Soon
authors: HS
authors: Choi
authors: Young-Hwue
authors: YH
authors: Kim
authors: Jae-Kon
authors: JK
authors: Ko
keywords: Coronary vesseles; Mucocutaneous Lymph Node Syndrome