THE RETROSPECTIVE EVALUATION OF CASES DIAGNOSED WITH KAWASAKI DISEASE

Yıl 2021, Cilt: 5 Sayı: 3, 124 - 130, 30.11.2021

Esra Akyüz Özkan , Tuğba Ayçiçek Dinçer

https://doi.org/10.33716/bmedj.909965

Öz

Aim: Kawasaki disease (KD) is an acute febrile disease of childhood with vasculitis. We aimed to evaluate the epidemiological and clinical characteristics of KD cases diagnosed and treated in the Pediatric Clinic of our hospital in the last decade.
Material and Method: Forty five patients diagnosed with KD and treated between 01 January 2010 and 01 January 2020 was included in the study. The demographic characteristics, clinical and laboratory findings, and treatment processes of the patients were evaluated retrospectively.
Results: Of the 45 patients 23 (51.2%) were male. The mean age was 35.26 ± 28.16 months. The average duration of fever was 7,16±3.5 day. The patients were most frequently admitted in the spring (31.1%; 14 patients), and winter (31.1%; 14 patients). Twenty two (71.1%) of the patients diagnosed as complete KD, 13 (28.8%) patients were diagnosed as incomplete KD. While coronary involvement was present in 16 patients (35.5%), 29 patients (64.4%) didn’t. The mean platelet count was higher in patients with coronary involvement (p=0.006).
Conclusion: Cardiac involvement was observed at a rate of 35.5%. Platelet levels were higher in those with cardiac involvement. Considering that the platelet level increases in the subacute period in KD, it can be inferred as a result of an increase in cardiac involvement in patients who were admitted to the hospital late. Therefore the awareness of pediatricians about incomplete KD forms should be increased in addition to KD.

Anahtar Kelimeler

Kawasaki disease, coronary artery, children

KAWASAKİ HASTALIĞI TANISI KONULAN HASTALARIN GERİYE YÖNELİK DEĞERLENDİRİLMESİ

Öz

Amaç: Kawasaki hastalığı (KH) çocukluk çağında vaskülitle seyreden akut ateşli bir hastalıktır. Son 10 yılda hastanemiz pediatri kliniğinde KH tanısı alan hastaların epidemiyolojik ve klinik özelliklerini değerlendirmeyi amaçladık.
Gereç ve Yöntemler: 01/01/2021-01/01/2020 tarihleri arasında KH tanısı konulan ve tedavi edilen 40 hasta çalışmaya alındı. Hastaların demografik ve klinik özellikleri, laboratuar bulguları ve tedavi süreçleri geriye yönelik değerlendirildi.
Bulgular: Kırk beş hastadan 23 (51.2%) ü erkekti. Ortalama yaş 35.26±8.16 ay idi. Ortalama ateş süresi 7.16±3.5 gündü. Hastalar daha çok bahar (%31.1, 14 hasta) ve kış aylarında (%31.1, 14 hasta) başvurdu. Yirmi iki hasta (%71.1) komplet KH, 13 hasta ise (%28.8) inkomplet KH tanısı aldı. Koroner tutulum 16 hastada varken (%35.5), 29 unda yoktu (%64.4). Koroner tutulumu olan hastaların ortalama platelet sayısı yüksekti (p=0.006).
Sonuç: Kardiyak tutulum %35.5 oranında saptandı. Platelet düzeyi kardiyak tutulumu olanlarda daha yüksekti. KH da platelet düzeyinin subakut dönemde arttığı düşünüldüğünde, hastaneye geç başvuran hastalarda kardiyak tutulumda artış sonucu çıkarılabilir. Bu nedenle çocuk hekimlerinin KH'na ek olarak inkomplet KH konusundaki farkındalıkları artırılmalıdır.

Anahtar Kelimeler

kawasaki hastalığı, koroner tutulum, çocuklar

Kaynakça

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