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- W2377457883 abstract "Objective To summarize the clinical feature,diagnosis,treatment and prognosis of incomplete Kawasaki disease(KD) cases from Beijing Children's Hospital and improve the levels of diagnosis and treatment.Methods A retrospective review of patients with KD from January 2002 to December 2010 in Beijing Children's Hospital was performed.Demographic and clinical data included gender,age,recurrence rate,clinical manifestation(including fever,bilateral conjunctival injection,changes in the lips and oral cavity,nonpurulent cervical lymphadenopathy,polymorphous exanthema,changes in the extremities,recurrent redness and erythema around the BCG scar,changes around anus,vomiting,diarrhea,swelling of tonsil and changes of external genitalia),treatment and coronary artery lesion.Laboratory examinations included C-reacting protein,erythrocyte sedimentation rate,hemoglobin,white blood cell,percentage of white blood cells representing neutrophils(% neutrophils),platelet count,sodium,albumin,aspartate aminotransferase,alanine aminotransferase,γ-glutamyl transferase,total bilirubin,CK-MB and lactate dehydrogenase(LDH).Results A total of 1 484 patients with KD were analyzed.The incidence rate of incomplete KD was 17.6%(262 cases);furthermore,the rate in patients younger than 1 year old was 24.9%.The recurrent rate of KD in incomplete KD cases was 1.5%,similar to that in complete KD cases(1.8%).Duration of febrile of incomplete KD was(7.75±5.01) days,longer than that of complete KD [(6.68±3.63) days].There were no significant differences between incomplete and complete KD in clinical manifestations such as recurrent redness and erythema around the BCG scar,swelling of tonsil,changes of external genitalia,vomiting and diarrhea.The incidence rate of changes around anus was higher in complete KD than in incomplete KD.The differences in laboratory variables were not significant except for albumin,which was lower in complete KD.Days of illness at initial treatment of incomplete KD was(8.57±5.25) days,longer than that of complete KD [(6.94±3.55) days].The incidence rate of IVIG-resistant KD was not significantly different.The incidence rates of coronary artery dilatation,coronary artery aneurysm and giant coronary artery aneurysm was higher than that in incomplete KD than complete KD(57.5% vs 31.5%;14.1% vs 5.9%;1.9% vs 0.6%).Conclusions The duration of febrile and incidence of coronary lesion in incomplete KD were siginificantly longer and higher than those in complete KD,however the incidence of abnormal laboratory examination was not significantly different between incomplete KD and complete KD." @default.
- W2377457883 created "2016-06-24" @default.
- W2377457883 creator A5048940582 @default.
- W2377457883 date "2012-01-01" @default.
- W2377457883 modified "2023-09-23" @default.
- W2377457883 title "Clinical analysis of incomplete Kawasaki disease in a single centre in 9 years" @default.
- W2377457883 hasPublicationYear "2012" @default.
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