KAWASAKI DISEASE IN OLDER CHILDREN
Wu
JL, Zhang J, Sheng F, Huang GY, Ning SB
Children’s
Hospital of Fudan University, Shanghai, China
Objective: To determine the
prevalence of Kawasaki disease in older Children and to evaluate its
presentation and outcome in comparison with younger patients with the
disease and whether the older cases had more chances getting coronary
lesions or not.
Method: A retrospective study of
patients discharged with a diagnosis of Kawasaki disease at Children’s
Hospital of Fudan University over an 11-year period.
Results: A total of 249 cases were
included in this study. 4% were 9 years or older at the time of illness.
Patients were grouped by age: group A≦1
year old(58), group B included 1- to 8-year-olds (181), group C≧ 9 years old(10). Group C
had more cases (80%) fulfilled diagnostic criteria versus children (69.1%)
and infants (41.4%). The number of days from the beginning of the disease
to diagnosis was no significant difference among these three groups. No
coronary artery that was either dilated or aneurysmal was detected by
echocardiogram in group C. Older children had smooth clinical procedure.
Conclusion: We found a higher prevalence of
older children with Kawasaki disease at our hospital than has been reported
previously in the medical literature. According to our limited experience,
older patients did not have so high a rate of coronary artery lesions as
they were reported. Further study on a big number of the cases is
necessary.