[Kawasaki disease in Iceland 1996-2005, epidemiology and complications].

Abstract:

OBJECTIVE:To analyze the epidemiology of Kawasaki disease in Icelandic children and its complications. METHODS:A retrospective analysis of all cases of Kawasaki disease and atypical Kawasaki disease in children in Iceland from 1996-2005. Chart records were reviewed and children diagnosed at Landspítali - University Hospital invited for a Follow up study with emphasis on heart complications. RESULTS:Thirty children were diagnosed with Kawasaki disease, annual incidence was 10.7/100.000 children <5 years of age. The boy:girl ratio was 2.3:1. All 30 children were treated with IVIG, without any major adverse events related to the treatment. The median time from the initial symptoms to treatment was six days (range 3-31 days). There was no mortality. Two children developed coronary aneurysms and three coronary ectasia. Follow up echocardiography was preformed in 23 of the children four to twelve years after Kawasaki disease. Two of the children still had coronary ectasia, and six (26%) had mitral regurgitation. CONCLUSIONS:The incidence of Kawasaki disease in Iceland was comparable to an earlier Icelandic study and reported incidence in the Nordic countries. Coronary involvement during the acute phase was mild, and all coronary aneurysm regressed. Serious cardiac complications were not seen. Children with Kawasaki disease in Iceland have favorable prognosis. Interestingly, mild mitral regurgitation and coronary ectasia were common at mid-term follow up.

journal_name

Laeknabladid

journal_title

Laeknabladid

authors

Olafsdottir HS,Oskarsson G,Haraldsson Á

doi

10.17992/lbl.2012.02.414

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

91-5

issue

2

eissn

0023-7213

issn

1670-4959

journal_volume

98

pub_type

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