Yonsei Med J.  1992 Jun;33(2):183-188. 10.3349/ymj.1992.33.2.183.

Serum interleukin-6 in Kawasaki disease

Affiliations
  • 1Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Kawasaki disease (KD) is an acute febrile illness of infancy and early childhood. In spite of extensive studies, the cause of KD is not known. Interleukin 6 (IL-6) has manyfold biological functions involved in the immune or inflammatory responses of the host to various stimuli. Here the author investigated whether IL-6 might be responsible for manifestations of KD, such as immunoglobulin hypersecretion, lymphocyte activation and systemic vasculitis. Serum IL-6 levels in KD were determined by ELISA. Usually sera from healthy children contained only negligible levels of IL-6. Serum IL-6 was markedly elevated in all patients with acute KD, which gradually decreased during the course of the disease. Serum IL-6 correlated with serum concentration of C-reactive protein and with serum soluble interleukin-2 receptor level, but did not show any correlation with peak platelet count during subacute phase of the disease. Increased serum IL-6 level did not show any relation to development of coronary aneurysms and dilatation. Further studies will be needed to examine the source and the pathogenetic roles of increased serum IL-6 in KD.

Keyword

Kawasaki disease; interleukin 6; soluble interleukin-2 receptor; c-reactive protein

MeSH Terms

Child
Child, Preschool
Female
Human
Infant
Interleukin-6/*blood
Male
Mucocutaneous Lymph Node Syndrome/*blood
Receptors, Interleukin-2/analysis
Thrombocytosis/etiology
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