ArticleThe Journal of international medical research2021
Clinical characteristics of Kawasaki disease in adolescents.
Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Kawasaki disease in adolescents: age-specific clinical features and factors associated with outcomes.Clinical rheumatology · 2026Article
- The correlation between suicidal ideation, sense of meaning in life, and perceived social support among Chinese adolescent patients with mental disorders.Frontiers in psychiatry · 2026Article
- Diagnostic strategies for diseases with fever in dental clinics.Journal of Zhejiang University. Science. B · 2023Article
- Bibliometric and visual analysis of Kawasaki disease in children from 2012 to 2022.Frontiers in pediatrics · 2023Article
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Authors and funding
8 authors.
Funding
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Abstract
objectiveStudies focusing on Kawasaki disease (KD) in adolescents are lacking in Southwest China. We systematically summarized the clinical characteristics of KD in adolescents to improve pediatricians' recognition of this condition.
methodsThe clinical data of patients with adolescent-onset KD in our center were retrospectively analyzed. The patients were divided into Group A (n = 7), whose first hospitalization was at our hospital, and Group B (n = 10), who were transferred from their local hospital or community health center.
resultsSeventeen patients with adolescent-onset KD were identified (constituent ratio of 0.8%). Seven patients had an intermittent fever for >10 days. The incidence of incomplete KD was 52.9%. These patients had a high incidence of other atypical clinical manifestations. Fifteen patients were initially misdiagnosed with other infectious diseases. Although the incidence of typical KD was higher in Group B, the overall misdiagnosis rate at the initial stages was higher and the average fever duration on arrival and before IVIG administration were much longer in Group B than A.
conclusionsKD in adolescents was frequently misdiagnosed, which might be associated with its atypical, diverse clinical features and pediatricians' poor recognition. Pediatricians must be aware of the possibility of KD in adolescents.
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