A study of children with Kawasaki disease

Objectives To study demography, presentation, treatment,
complications and prognosis of children with
Kawasaki disease (KD).

Design A descriptive ongoing case study.

Method All children clinically suspected to have KD,
following admission to professorial unit at Lady
Ridgeway Hospital for Children or when seen in the
private sector, from November 2001 to September
2002, were included in the study. The demographic
details, presenting features, treatment and complications
were recorded. Children with coronary arteritis
were reviewed periodically to analyse long-term
effects.

Results 19 children were suspected to have KD.
Mean age was 3.9 years. 53% were males. Fever,
conjunctivitis and mucocutaneous lesions were the
commonest presenting features. 14 (74%) had
coronary artery changes. 5 (26%) patients fulfilled
the criteria for diagnosis. Intravenous
immunoglobulin was used as treatment in 8 (42%)
cases.

Sri Lanka Journal of Child Health, 2003; 32: 40-3

(Key words: Kawasaki disease, coronary arteritis, atypical or incomplete Kawasaki disease)

doi: 10.4038/sljch.v32i2.726