Diagnosis and treatment of incomplete Kawasaki disease in children

JIAO Fu-Yong, MU Zhi-Long, DU Zhong-Dong, YANG Xiao-Dong, SHEN Jie, XIANG Wei, WANG Hong

Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (3) : 238-243.

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (3) : 238-243. DOI: 10.7499/j.issn.1008-8830.2209127
TOPIC OF KAWASAKI DISEASE

Diagnosis and treatment of incomplete Kawasaki disease in children

  • JIAO Fu-Yong, MU Zhi-Long, DU Zhong-Dong, YANG Xiao-Dong, SHEN Jie, XIANG Wei, WANG Hong
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Abstract

Kawasaki disease (KD) is a febrile disease mainly observed in children aged <5 years, with medium- and small-vessel vasculitis as the main lesion. Although KD has been reported for more than 50 years and great progress has been made in the etiology and pathology of KD in recent years, there is still a lack of specific indicators for the early diagnosis of KD, especially with more difficulties in the diagnosis of incomplete Kawasaki disease (IKD). At present, there are no clear diagnostic criteria for IKD, which leads to the failure of the timely identification and standardized treatment of IKD in clinical practice and even induce the development of coronary artery lesion. This article reviews the concept, epidemiological features, diagnosis, treatment, and follow-up management of IKD, in order to deepen the understanding of IKD among clinical workers and help to improve the clinical diagnosis and treatment of KD in China.

Key words

Incomplete Kawasaki disease / Diagnosis / Treatment / Child

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JIAO Fu-Yong, MU Zhi-Long, DU Zhong-Dong, YANG Xiao-Dong, SHEN Jie, XIANG Wei, WANG Hong. Diagnosis and treatment of incomplete Kawasaki disease in children[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(3): 238-243 https://doi.org/10.7499/j.issn.1008-8830.2209127
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