Written by Kambiz Ghasemi, Mehran Ahmadi, Fatemeh Keshavarz

 

Year: 2017

Volume: 1

Issue: 2

Pages: 88-97

 

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Abstract

Introduction: Kawasaki disease is an acute vesiculitis that involves medium-sized vessels. The disease affects children and adolescents predominantly. Considering the importance of this disease and the prevalence of it in Bandar Abbas, the aim of this retrospective descriptive study was to compare the clinical and laboratory symptoms of Kawasaki patients admitted to Bandar Abbas Children Hospital during 2012-2015.

Methods: The data was collected using a researcher-made checklist. The checklist had two parts; the first part was non-specialized information such as age, sex, season of illness, and the second part contained specialized information such as clinical and paraclinical manifestations.

Results: The minimum age was two months and the maximum age was 144 months. The highest incidence was between 24-36 months in 7 cases (25%) and the lowest was between 12-24 months in 2 cases (7.1%). In terms of clinical manifestations, 22 cases (78.6%) of conjunctivitis, 23 cases (82.1%) of rash, 21 (75%) cases of lymphopoenitis, and 27 (96.4%) cases of oral cavity complication were observed. Increased ESR in 17 patients (60.7%), leukocytosis in 5 patients (17.9%), anemia in 9 patients (32.1%), thrombocytosis in 8 patients (28.6%), and thrombocytopenia in 2 patients (7.1%) were observed.

Conclusion: Knowledge about the sign and symptoms and laboratory abnormalities in Kawasaki disease is important for early diagnosis and treatment of it.

Keywords: Kawasaki disease, Fever, Anemia