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A Clinical Observation of Kawasaki Disease at High Risk of Coronary Artery Aneurysm.

Journal of the Korean Pediatric Society 1991;34(11):1540-1546.
Published online November 30, 1991.
A Clinical Observation of Kawasaki Disease at High Risk of Coronary Artery Aneurysm.
Y.T Chung, M.Y Yeo, J.O Lee, B.H Lim, I.J Kang
Department of Pediatrics, Fatima Hospital, Daegu, Korea
Kawasaki 병에서 관상동맥 변화를 초래할 위험요소에 관한 임상적 고찰
정용태, 여미영, 이재욱, 임병학, 강임주
Received: 28 June 1991   • Accepted: 24 August 1991
Kawasaki disease is an acute febrile illness of unknown origin and its most serious complication is coronary aneurysms We compared the coronary arterial dilatated group with nondilatated group in clinical manifesta- tion laboratory test, electrocardiography in 90 children with Kawasaki disease, who were admitted to department of Pediatrics of Fatima Hospital from July 1985 to June 1990. The results were as follows. 1) Coronary arterial dilatation was observed in 24.4% of all cases. 2) Coronary arterial dilatation was more frequent in under the age of lyear and the boy, but it was not significant (X2=2.6, p>0.1) 3) The duration of fever, Maximal WBC count, elevation of ESR, Hypoalbuminemia, Gallbladder hyprops in abdominal ultrasonogram, early onset arthritis were significantly contributed in dilatation of coronary artery. 4) Minimal hemoglobin, Maximal platelats count, Transaminase, ECG finding, late onset arthritis were not significant in dilatation of coronary artery. 5) More rapidly onset of initial therapy of aspirin was, lesser frequency of coronary arterial dilatation was.
Key Words: Kawasaki disease, Coronary aneurysm

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