Kawasaki disease and the emerging coronary artery disease epidemic in India: is there a correlation?

Abstract:

:Although Kawasaki disease (KD) is now being increasingly reported from India, the vast majority of children with KD are still not being diagnosed and treated. A recent study from Chandigarh has shown that the incidence of KD is at least 4.54/100,000 children below 15 y of age. Extrapolations of this figure suggest that a minimum of 17,417 new cases of KD would be occurring every year in our country. A significant proportion of these children may develop coronary artery abnormalities. These children would then be at risk of developing myocardial ischemia as young adults. It is authors' contention that (undiagnosed) KD in childhood may be contributing to the growing pool of coronary artery disease (CAD) in India. Similarly, a missed diagnosis of KD in childhood should be considered as a possibility while evaluating adults with CAD, especially when there are no overt risk factors and no family history of the disease.

journal_name

Indian J Pediatr

authors

Singh S,Aulakh R,Kawasaki T

doi

10.1007/s12098-013-1229-y

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

328-32

issue

4

eissn

0019-5456

issn

0973-7693

journal_volume

81

pub_type

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