J Korean Pediatr Cardiol Soc.  2003 Jun;7(1):102-105.

Clinical Study of Kawasaki Disease in Infants 3 Months of Age and Younger

• Sim CE
• Park YW
• Park IS
• Kim CH
• Yun YS

Abstract

PURPOSE: The aim of this study was to describe the epidemiological pictures and clinical profiles of Kawasaki disease(KD) in infants 3 months and younger.
METHODS
For the epidemiologic study of KD in Korea as a task of Korean Pediatric Cardiology Society, data of total 3,862 KD patients were collected from 1997 to 1999 by survey. Among them, clinical data of 71 KD patients aged 3 months and younger were analyzed and compared with those of the total KD patients group.
RESULTS
71 patients aged 3 months and younger(1.8% of total 3,862 KD patients) included 1 case aged under 1 month, 22 cases aged 1-2 months, and 48 cases aged 2-3 months. The male-to-female ratio was 1.96:1, and the recurrence rate was 1.4%, and the prevalence of cases in sibling was zero. Coronary arterial (CA) abnormalities were detected by echocardiography in 27.5% of the cases, including 10.1% of CA aneurysm cases. There were no case with myocardial infarction or death.
CONCLUSION
Comparing with the data of total KD patients group, data from 71 patients aged 3 months and younger showed a somewhat higher male-to-female ratio, incidence of CA abnormalities, and incidence of CA aneurysms, however those had no statistical significance.

Keyword

Kawasaki disease; Coronary aneurysm; Epidemiology; Infant

MeSH Terms

Aneurysm
Cardiology
Coronary Aneurysm
Echocardiography
Epidemiologic Studies
Epidemiology
Humans
Incidence
Infant*
Korea
Mucocutaneous Lymph Node Syndrome*
Myocardial Infarction
Prevalence
Recurrence
Siblings