Delayed Diagnosis of Kawasaki Disease
Delayed Diagnosis of KD: An Analysis of the Problem
Marsha S. Anderson, MD; James K. Todd, MD; and Mary P. Glode´, MD
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Conclusions. Diagnosis after the 10th day of illness was not linked to type of medical provider, number of antibiotics received, or number of physician visits. Patientsin the delayed diagnosis group exhibited the typical features of KS, but the onset of their symptoms was dispersed over time as opposed to the close clustering of symptoms in the
Early diagnosis group. Because coronary artery aneurysms occurred significantly more often in the patients in the delayed diagnosis group, more education is needed to teach health care providers to have a high index of suspicion for KS in young children presenting with fever/rash illnesses. |
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Risk factors for Kawasaki disease-associated coronary
abnormalities differ depending on age
DooIl Song et.al; Risk factors for Kawasaki disease-associated coronary abnormalities differ depending on age. Eur J Pediatr DOI 10.1007/s00431-009-0925-0. Published online Jan 2009
Incomplete clinical manifestations in the younger group and IVGG non-responsiveness in the older group are associated with the development of KD-associated coronary artery aneurysm. These age-specific characteristics could aid the customization of the diagnostic and therapeutic strategies of KD, thereby helping to improve the outcome of this disease.
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