Refractory Kawasaki disease: diagnostic and management challenges

• Main Authors: Duignan S (Author), Doyle SL (Author), McMahon CJ (Author)
• Format: Book
• Published: Dove Medical Press, 2019-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Sophie Duignan,1,2 Sarah L Doyle,2 Colin J McMahon1,2 1Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Dublin 12, Ireland; 2Department of Immunology, National Children’s Research Centre, Dublin, IrelandCorrespondence: Colin J McMahonDepartment of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, IrelandTel [phone]Fax [phone]Email [e-mail]: Kawasaki disease (KD), an acute, self-limiting, medium-sized arterial vasculitis, is now the most common cause of acquired heart disease in childhood in the developed world. In this review, we discuss the diagnosis of KD, predicting resistance to traditional therapy and treatment options in refractory or high-risk disease. We also highlight ongoing clinical trials and other potential avenues of research which may prove beneficial in managing children, especially those with resistant KD.Keywords: aneurysm, arteritis, coronary, inflammation, Kawasaki, vasculitis

Item Description

1179-9927