| Clinical Review of Recurrent Kawasaki Disease |
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Jong Woon Choi, Soon Ki Kim, Byong Kwan Son |
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Department of Pediatrics, Inha University Hospital, Seongnam, Korea |
| 재발성 가와사키병에 대한 임상적 고찰 |
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최종운, 김순기, 손병관 |
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인하대학교 의과대학 소아과학교실 |
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| Abstract |
Purpose
: The recurrence of Kawasaki disease has not been considered significant and has not
been reported on literatures in Korea. Authors reviewed cases with recurrent Kawasaki disease to
get informations about recurrent Kawasaki disease and to know whether there is any factor, if
present, that can predict recurrence.
Methods
: We reviewed and analyzed the hospital records of patients with recurrent Kawasaki
disease who had been admitted to Inha University Hospital from January 1986 through December
1994.
Results
: The total number of cases with Kawasaki disease was 266 during that period in Inha
University Hospital. Seven patients were diagnosed as having recurrent Kawasaki disease, but four
of them fulfilled five or more items of the diagnostic criteria for Kawasaki disease. So the
proportion of recurrent cases was 1.5%(4/259)(or 2.7% (7/259) ?). Sex ratio was M:F=3:1. The
ages at the first episodes of illness were from 7 months to 3 years 2 months (median=24
months), and those of the second episodes were from 11 months to 6 years 3 months (median=4
years 3 months). The intervals between two episodes were from 4 months to 4 years 2 months
(median=1 year 9 months). No special aspect could be found in the clinical and laboratory
findings of primary cases, compared with other cases with kawasaki disease. The clinical
manifestations and courses of recurred cases were not significantly different from those of
primary cases, except one recurred case who developed coronary aneurysm.
Conclusion
: The recurrence rate of Kawasaki disease seems to be higher than 1.5%(or 2.7%)
at least. The risk factors for recurrence could not be found, and there was no specific aspect in
the clinical manifestations and courses of recurrent Kawasaki disease. |
| Key Words:
Kawasaki disease, Recurrence |
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