Kawasaki disease: A university hospital experience

Lardhi, Amer A.

doi:10.4103/1658-631x.112923

Cited by 8 publications

(22 citation statements)

References 1 publication

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“…The true incidence of KD in Middle Eastern countries is not known. The incidence was 7.4 per 100,000 children under 5 years of age in a retrospective study conducted in an eastern province of Saudi Arabia for the period from 1992 to 2012 [5], [6].…”

Section: Discussionmentioning

confidence: 99%

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Giant right coronary artery aneurysm secondary to Kawasaki disease in an infant

AlGonaid

Almoukirish

Almashham

2019

Journal of the Saudi Heart Association

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Kawasaki disease (KD) is a potentially decapacitating multisystemic vasculitis with unknown etiology that acquired worldwide attention due to associated coronary aneurysms leading to life-threatening complications in very young babies including thrombosis, ischemia, and rupture. High levels of suspicion for early diagnosis and prompt treatment are crucial in preventing serious complications. We report here one of the patients who developed a giant coronary aneurysm but fortunately not a life-threatening complication after 5 years of follow-up. We conclude that later intravenous immunoglobulins (IVIG) treatment could be an important factor—among others—that precipitate into such complications.

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Section: Discussionmentioning

confidence: 99%

“…A few small studies that addressed the incidence and prevalence of KD in Kingdom of Saudia Arabia showed no significant differences between national statistical data than what is observed worldwide [4], [5].…”

Section: Introductionmentioning

confidence: 99%

Giant right coronary artery aneurysm secondary to Kawasaki disease in an infant

AlGonaid

Almoukirish

Almashham

2019

Journal of the Saudi Heart Association

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“…KD is a worldwide disease prevalent among the Japanese population and other Asian countries [9]. With regard to Saudi Arabia, quite extensive experience with KD involving central, western, and eastern provinces has been documented sparsely, with a reported incidence of 7.4 per 100,000 children below five years of age in a retrospective study in the eastern region [10-11]. However, true overall incidence cannot be determined at the moment due to the lack of comparable studies [10].…”

Section: Introductionmentioning

confidence: 99%

Unusual Presentation of Kawasaki Disease in a 13-year-old Saudi Boy

Sleiman¹,

Almohayya²,

Hennawi³

2019

Cureus

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Kawasaki disease (KD), formerly known as mucocutaneous lymph node syndrome, is one of the most quintessential self-limiting forms of vasculitides among children. Nevertheless, sparse cases of adulthood KD have been also identified. Despite the self-limited (indolent) nature of this disease, patients tend to present with fever and signs of acute inflammation which may averagely last for up to 12 days without treatment, yet high index of clinical suspension is needed in atypical cases early during the course of the disease in order to minimize associated morbidity and mortality. Herein, we report an unorthodox case of KD of a 13-year-old male patient who started with cervical lymph node enlargement, followed by fever.

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“…[1] In the Eastern Province of Saudi Arabia, the incidence is estimated as 7.4/100,000 children aged <5 years, with a male-to-female ratio of 1.9:1. [2] The diagnosis of KD is made based on the presence of at least four of the five clinical diagnostic criteria along with fever for ≥5 days. [1] However, its diagnosis presents challenges because the clinical diagnostic criteria are not specific for KD, and a significant proportion of children with KD do not fulfill the diagnostic criteria.…”

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confidence: 99%

“…In Saudi Arabia, Lardhi[2] found coronary artery abnormalities in 37% of the patients despite treatment with IVIG, likely due to delay in recognition of the disease, and thus in starting management. [2] Similarly, Muzaffer and Al-Mayouf[4] found that 30% of their patients with KD had coronary aneurysm and unusual complications, while Alsaggaf[3] found that 48.2% of the KD patients had coronary artery lesion, of which 51.8% had incomplete KD. Therefore, early diagnosis and treatment are of considerable significance for patients with KD.…”

mentioning

confidence: 99%