Özet:

Objective: Kawasaki disease is a vasculitis that rarely diagnosed in our country. In this study, it was aimed to evaluate clinical and laboratory findings and outcome in 13 children with Kawasaki disease. Materials and methods: Diagnosis of Kawasaki disease was done based on its diagnostic criteria. Biochemi­cal tests and complete blood count were performed and acute phase reactants were measured. Urinalysis and in­fection investigations were also done. Echocardiography was performed to all patients. Intravenous immunoglobu­lin (IVIG, 2 g/kg) was given and acetylsalicylic acid (100 mg/kg) was started to all patients. Results: Eight male and 5 female children were includ­ed. The mean age 3.3±1.6 years (range 1.5-7) and 12 children were under 5 years of age. The mean diagno­sis delay duration was 14.2±10.6 days, median 14 days (range, 6-35) before admission to our hospital. There was high fever in all patients, rash on body in 11/13 patients, lymphadenopathy in 9/13, desquamation at hand and feet in 5/13, conjunctivitis and oral mucosal changes in 5/11. Arthritis was found in 5/13, and convulsion and respira­tory distress in one each. Dilatation was found in main coronary artery in 5/13 patients by echocardiography. In­travenous immunoglobulin (IVIG) and acetylsalicylic acid were given to all patients. Fever and other clinical and laboratory abnormalities were healed in patients; howev­er, coronary artery dilatation was persisted in two patients despite IVIG treatment. Conclusion: Diagnostic delay was frequently in Kawasa­ki disease due to rarity of the disease and coronary artery dilatation may not be healed always.

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