Epidemiological and clinical features of Kawasaki disease in Spain over 5 years and risk factors for aneurysm development. (2011-2016): KAWA-RACE study group.
Elisa Fernandez-CookeAna Barrios TascónJudith Sánchez-ManubensJordi AntónCarlos Daniel Grasa LozanoJavier Aracil SantosEnrique Villalobos PintoDaniel Clemente GaruloBeatriz Mercader RodríguezMatilde Bustillo AlonsoEsmeralda Nuñez CuadrosMaria Luisa Navarro GómezSara Domínguez-RodríguezCristina Calvonull nullPublished in: PloS one (2019)
In our population, children under 12 months develop coronary aneurysms more frequently and children with KD with anemia and leukocytosis have high risk of cardiac involvement. Adding steroids early should be considered in those patients, especially if the treatment is not started before 8 days of fever. A score applicable to non-Japanese children able to predict the risk of aneurysm development and IVIG resistance is necessary.