Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/27702
Title: Clinical manifestations of Kawasaki disease: What are the significant parameters?
Authors: Kanoknaphat Chaiyarak
Kritvikrom Durongpisitkul
Thitiya Atta
Jarupim Soongswang
Duangmanee Laohaprasitiporn
Apichart Nana
Mahidol University
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Jun-2009
Citation: Asian Pacific Journal of Allergy and Immunology. Vol.27, No.2-3 (2009), 131-136
Abstract: The initial differential diagnosis of Kawasaki disease (KD) from other acute febrile illnesses infants and children is particularly difficult in patients who exhibit incomplete criteria. The objective of this study was to determine the differences in the clinical and laboratory findings between KD patients and those who were initially suspected of having KD but eventually had other diagnoses. One hundred and fourteen pediatric patients who were initially diagnosed with suspected KD were included. Eighteen cases were finally diagnosed with another disease. The only demographic data that were significantly different between the groups were body height and the duration of fever. The KD group exhibited more classical clinical criteria than those who were finally diagnosed with another disease. The erythrocyte sedimentation rate (ESR) and platelet count were significantly higher in the KD group than in the non-KD group. An ESR ≥ 40 mm/hour had a diagnostic sensitivity of 90.5%, a specificity of 66.6%, a positive predictive value of 93.4%, and a negative predictive value of 57.1%. The incidence of coronary aneurysm in this study was 6.2%. There was no correlation between ESR and coronary aneurysm. We conclude that the clinical criteria are the basis for the diagnosis of Kawasaki disease but the ESR can be helpful in pediatric patients with acute febrile illness who do not exhibit all clinical criteria.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=70350705856&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/27702
ISSN: 0125877X
Appears in Collections:Scopus 2006-2010

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