Clinical Evaluation of Children with Kawasaki Disease Hospitalized in Our Clinic: A Retrospective Study

Abstract

Objective: Kawasaki disease is one of the most common childhood forms of vasculitis. The aim of this study was to evaluate children with Kawasaki disease hospitalized in our pediatrics department over a 6-year period.Methods: A total of 39 children treated for Kawasaki disease in the pediatric department between January 2008 and December 2013 were evaluated retrospectively.Results: Of 39 patients, 29 (74.3%) were male and 10 (25.6%) were female. The male/female ratio was 2.9. The mean patient age was 31.82±20.31 months. In all, 2 patients were diagnosed with Kawasaki disease in 2008, 6 in 2009, 5 in 2010, 7 in 2011, 10 in 2012 and 9 in 2013. Lesions of the oral cavity were found in 89.7%, extremity changes were observed in 61.5%, conjunctivitis was seen in 76.9%, polymorphous exanthema was detected in 74.4%, and lymphadenopathy was present in 61.5% of the patients. In 22 patients, coronary artery disease was detected on an echocardiogram. According to the Kawasaki disease diagnostic criteria, 64.1% were diagnosed as complete Kawasaki disease and 35.9% as incomplete. Myocardial infarction or death did not occur.Conclusion: The cardiovascular complications of Kawasaki disease can be prevented with early diagnosis and treatment in both complete and incomplete cases