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KMID : 0367420050480101139
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Journal of Korean Pediatric Society
2005 Volume.48 No. 10 p.1139 ~ p.1142
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Clinical and Epidemiologic Study of Kawasaki Disease in Children 8 Years of Age and Older
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Park Yong-Won
Han Ji-Whan
Park In-Sook
Kim Chang-Hwi
Cha Sung-Ho
Ma Jae-Sook
Kwon Tae-Chan
Lee Sang-Bum
Kim Chul-Ho
Lee Heung-Jae
Yun Yong-Soo
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Abstract
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Purpose: The aim of this study was to investigate the epidemiologic and clinical profiles of Kawasaki disease(KD) in children 8 years of age and older.
Methods: For the epidemiologic study of KD in Korea, data of total 15,692 KD patients were collected from 1994 to 2002 on a 3 year basis, by the retrospective survey. Among them, data of 211 KD patients 8 years of age and older were analyzed and compared with those of the KD patients less than 8 years of age.
Results: 211 patients 8 years of age and older(1.3% of total KD patients) with the mean age of 9.8 years, included 142 cases aged 8-10 years, 42 cases aged 10-12 years, and 27 cases aged 12 years and older. The male-to-female ratio was 1.9:1, the recurrence rate was 3.8%, and the prevalence of cases in sibling was zero. Coronary arterial(CA) abnormalities were detected by echocardiography in 25.4% of the cases, including 7.6% of CA aneurysm cases. There was 1 case complicated by myocardial infarction.
Conclusion: Comparing with the data of the KD patients less than 8 years of age, data of 211 patients 8 years of age and older showed significantly higher incidences of CA abnormalities(25.4%: 19.8%) and CA aneurysms(7.6%:4.0%).
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KEYWORD
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Kawasaki disease, Mucocutaneous lymph node syndrome, Coronary aneurysm, Epidemiology, Child
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