Kawasaki Disease in Sulaymaniyah/ Kurdistan/ Iraq

Abstract

Background: Kawasaki disease is the most common cause of acquired heart disease in developed countries. Kawasaki disease it has been increasingly reported from developing countries. The aim of this study was to assess the clinical and epidemiological characteristics of Kawasaki disease in children of Sulaimaniyah city. Subject and Methods: In this study all children diagnosed as Kawasaki disease included during the period between January 2010 and December 2014. The hospital records / pediatric cardiology clinic data were reviewed, and data were abstracted onto standardized forms. Results: During the study period from January 2010 to December 2014, 36 patients were diagnosed as Kawasaki disease. Their mean age at diagnosis was 2.8± 2 years (range 6 months -9years). Most of the patients (30 patients 83.3%) were under age of 5 years, and the median age was 2.1 year. Male to female ratio was 1.76. Most of cases occurred during winter and spring season. Out of 36 patients, 16 (44.4%) patients had coronary disease, and 4 cases of coronary cases were classified as A4 and A5 class according to Japanese Classification of Severity of Coronary Artery Lesions. There was non-significant difference between coronary and non-coronary group regarding hemoglobin level, platelet count, ESR and WBC count. Conclusions: Kawasaki disease is not uncommon in Sulaymaniyah, the clinical and epidemiological pattern is not different from other parts of the world. We need to increase the index of suspicion in order not to miss Kawasaki disease cases and avoid its serious cardiac complications.Duhok Med J 2017; 11 (2): 37-45.

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“…Green areas were known for the first time in England in the thirteenth century, and since that date they have become the main element in landscaping ، (Salih, 2001). Green areas are defined as those areas that are covered with a group of closely spaced herbaceous plants, and when cut, their creeping branches grow profusely, covering the distance between the planted plants when their growth is integrated, to give an attractive shape like a green rug.…”