All issues > Volume 34(11); 1991

Original Article

J Korean Pediatr Soc. 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 Chung¹, M.Y Yeo¹, J.O Lee¹, B.H Lim¹, I.J Kang¹

¹Department of Pediatrics, Fatima Hospital, Daegu, Korea

Received: June 28, 1991;  Accepted: August 24, 1991.

Abstract

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.

Keywords :Kawasaki disease;Coronary aneurysm