1. [Kawasaki disease in Iceland 1996-2005, epidemiology and complications].
- Author
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Olafsdottir HS, Oskarsson G, and Haraldsson Á
- Subjects
- Child, Child, Preschool, Coronary Aneurysm epidemiology, Coronary Aneurysm etiology, Female, Heart Diseases diagnosis, Heart Diseases etiology, Heart Diseases therapy, Hospitals, University, Humans, Iceland epidemiology, Immunoglobulins, Intravenous therapeutic use, Incidence, Infant, Infant, Newborn, Male, Mitral Valve Insufficiency epidemiology, Mitral Valve Insufficiency etiology, Mucocutaneous Lymph Node Syndrome complications, Mucocutaneous Lymph Node Syndrome diagnosis, Mucocutaneous Lymph Node Syndrome therapy, Retrospective Studies, Time Factors, Treatment Outcome, Heart Diseases epidemiology, Mucocutaneous Lymph Node Syndrome epidemiology
- Abstract
Objective: To analyze the epidemiology of Kawasaki disease in Icelandic children and its complications., Methods: A retrospective analysis of all cases of Kawasaki disease and atypical Kawasaki disease in children in Iceland from 1996-2005. Chart records were reviewed and children diagnosed at Landspítali - University Hospital invited for a Follow up study with emphasis on heart complications., Results: Thirty children were diagnosed with Kawasaki disease, annual incidence was 10.7/100.000 children <5 years of age. The boy:girl ratio was 2.3:1. All 30 children were treated with IVIG, without any major adverse events related to the treatment. The median time from the initial symptoms to treatment was six days (range 3-31 days). There was no mortality. Two children developed coronary aneurysms and three coronary ectasia. Follow up echocardiography was preformed in 23 of the children four to twelve years after Kawasaki disease. Two of the children still had coronary ectasia, and six (26%) had mitral regurgitation., Conclusions: The incidence of Kawasaki disease in Iceland was comparable to an earlier Icelandic study and reported incidence in the Nordic countries. Coronary involvement during the acute phase was mild, and all coronary aneurysm regressed. Serious cardiac complications were not seen. Children with Kawasaki disease in Iceland have favorable prognosis. Interestingly, mild mitral regurgitation and coronary ectasia were common at mid-term follow up.
- Published
- 2012
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