Clinical characteristics of Kawasaki disease in adolescents

Objective Studies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians’ recognition of this condition. Methods The clinical data of patients with adolescent-onset KD in...

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Autores principales:	Xiaoliang Liu, Fang Wang, Kaiyu Zhou, Yimin Hua, Mei Wu, Lei Liu, Shuran Shao, Chuan Wang
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f054f7b48dbf4e9f8d91990b718c6d8a
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spelling	oai:doaj.org-article:f054f7b48dbf4e9f8d91990b718c6d8a2021-11-09T01:03:32ZClinical characteristics of Kawasaki disease in adolescents1473-230010.1177/03000605211056839https://doaj.org/article/f054f7b48dbf4e9f8d91990b718c6d8a2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211056839https://doaj.org/toc/1473-2300Objective Studies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians’ recognition of this condition. Methods The clinical data of patients with adolescent-onset KD in our center were retrospectively analyzed. The patients were divided into Group A (n = 7), whose first hospitalization was at our hospital, and Group B (n = 10), who were transferred from their local hospital or community health center. Results Seventeen patients with adolescent-onset KD were identified (constituent ratio of 0.8%). Seven patients had an intermittent fever for >10 days. The incidence of incomplete KD was 52.9%. These patients had a high incidence of other atypical clinical manifestations. Fifteen patients were initially misdiagnosed with other infectious diseases. Although the incidence of typical KD was higher in Group B, the overall misdiagnosis rate at the initial stages was higher and the average fever duration on arrival and before IVIG administration were much longer in Group B than A. Conclusions KD in adolescents was frequently misdiagnosed, which might be associated with its atypical, diverse clinical features and pediatricians’ poor recognition. Pediatricians must be aware of the possibility of KD in adolescents.Xiaoliang LiuFang WangKaiyu ZhouYimin HuaMei WuLei LiuShuran ShaoChuan WangSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Xiaoliang Liu Fang Wang Kaiyu Zhou Yimin Hua Mei Wu Lei Liu Shuran Shao Chuan Wang Clinical characteristics of Kawasaki disease in adolescents
description	Objective Studies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians’ recognition of this condition. Methods The clinical data of patients with adolescent-onset KD in our center were retrospectively analyzed. The patients were divided into Group A (n = 7), whose first hospitalization was at our hospital, and Group B (n = 10), who were transferred from their local hospital or community health center. Results Seventeen patients with adolescent-onset KD were identified (constituent ratio of 0.8%). Seven patients had an intermittent fever for >10 days. The incidence of incomplete KD was 52.9%. These patients had a high incidence of other atypical clinical manifestations. Fifteen patients were initially misdiagnosed with other infectious diseases. Although the incidence of typical KD was higher in Group B, the overall misdiagnosis rate at the initial stages was higher and the average fever duration on arrival and before IVIG administration were much longer in Group B than A. Conclusions KD in adolescents was frequently misdiagnosed, which might be associated with its atypical, diverse clinical features and pediatricians’ poor recognition. Pediatricians must be aware of the possibility of KD in adolescents.
format	article
author	Xiaoliang Liu Fang Wang Kaiyu Zhou Yimin Hua Mei Wu Lei Liu Shuran Shao Chuan Wang
author_facet	Xiaoliang Liu Fang Wang Kaiyu Zhou Yimin Hua Mei Wu Lei Liu Shuran Shao Chuan Wang
author_sort	Xiaoliang Liu
title	Clinical characteristics of Kawasaki disease in adolescents
title_short	Clinical characteristics of Kawasaki disease in adolescents
title_full	Clinical characteristics of Kawasaki disease in adolescents
title_fullStr	Clinical characteristics of Kawasaki disease in adolescents
title_full_unstemmed	Clinical characteristics of Kawasaki disease in adolescents
title_sort	clinical characteristics of kawasaki disease in adolescents
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/f054f7b48dbf4e9f8d91990b718c6d8a
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Clinical characteristics of Kawasaki disease in adolescents

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