ArticleKorean circulation journal2016
Clinical Characteristics of Kawasaki Disease in Infants Younger than Six Months: A Single-Center Study.
Article in Korean circulation journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Pre-IVIG echocardiography enables targeted treatment in infants younger than 6 months with Kawasaki Disease : Echocardiography-based risk stratification in young infants with Kawasaki Disease.European journal of pediatrics · 2026Article
- Clinical factors associated with retreatment and early coronary outcomes in Kawasaki disease in children aged < 6 months: a single-center cohort study.European journal of pediatrics · 2026Article
- Article
- Clinical utility of CBC-Derived inflammatory markers for predicting IVIG resistance: findings from a Korean infant Kawasaki disease cohort.Pediatric rheumatology online journal · 2025Article
- An Unexpected Diagnosis of Kawasaki Disease in a Three-Month-Old Infant: A Diagnostic Trap.Cureus · 2025Article
- Case Report: Challenges in diagnosing Kawasaki disease in children under 3 months of age: a case series report.Frontiers in pediatrics · 2025Article
- [Diagnosis and treatment of incomplete Kawasaki disease in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023Review
- Clinical indications for Kawasaki disease in febrile infants aged less than three months.Rheumatology international · 2022Article
- Kawasaki disease in children younger than 6 months of age: characteristics of a Spanish cohort.European journal of pediatrics · 2022Article
- Characteristics and trends in diagnosis of Kawasaki disease outside the usual age range.Clinical rheumatology · 2021Article
- Correct identification of incomplete Kawasaki disease.The Journal of international medical research · 2021Review
- Age-related differences in clinical characteristics of Kawasaki disease.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021Article
- Characteristics and Indications of Kawasaki Disease Among Infants Under 6 Months.Frontiers in pediatrics · 2020Article
- Kawasaki Disease in Infants in the First 3 Months of Age in a Mexican Population: A Cautionary Tale.Frontiers in pediatrics · 2020Article
- Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network.Frontiers in pediatrics · 2020Article
- Giant Thrombotic Right Coronary Aneurysm in an Infant with Undiagnosed Incomplete Kawasaki Disease and Rapidly Progressive Cardiovascular Collapse.CASE (Philadelphia, Pa.) · 2019Article
- Atypical manifestations of cardiomegaly and nephrotic syndrome in Kawasaki disease: Two case reports.Medicine · 2019Article
- Kawasaki disease in infants less than one year of age: an Italian cohort from a single center.BMC pediatrics · 2019Article
- High-dose anakinra as treatment for macrophage activation syndrome caused by refractory Kawasaki disease in an infant.BMJ case reports · 2019Article
- Early features of Kawasaki disease with pyuria in febrile infants younger than 6 months.BMC pediatrics · 2018Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesKawasaki disease (KD) is the leading cause of acquired heart disease, which predominantly occurs in children under the age of 5 years. However, there are fewer cases of KD in infants younger than 6 months, which makes it difficult to diagnose. We investigated the clinical manifestations of KD in this age group and compared them with those in the older age group. SUBJECTS AND
methodsWe retrospectively reviewed the medical records of 239 patients with KD admitted to the Hallym Sacred Heart Hospital from January 2013 to June 2015. The data were categorized into 2 groups by age: Group A (≤6 months, n=26) and Group B (>6 months, n=213).
resultsGroup A had a longer hospitalization period than Group B (6.69 vs. 5.19 days, p=0.002). Group A had fewer clinical manifestations upon admission, due to which there was a higher incidence of incomplete KD (1.88 vs. 3.54 of the diagnostic criteria, p<0.05; and 19.2% vs. 4.2% incomplete KD incidence, p=0.002). The rate of cardiac complications was higher in Group A (30.8% vs. 11.7%, p=0.011).
conclusionThe rate of cardiac complications of the patients younger than 6 months was significantly higher than that of the older patients. Therefore, infants younger than 6 months with unexplained fever for more than 5 days should be suspected as having KD, even if the principal clinical features are not fully presented. Echocardiography must be appropriately used for diagnosis of KD in suspected patients.
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