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Published on: October 9, 2011
[Kawasaki disease in Iceland 1979-1997.]
Laeknabladid
|March 27, 2009
Summary
Kawasaki disease, a serious inflammatory condition in children, affects 8.5 per 100,000 annually in Iceland. Early treatment with intravenous immunoglobulins improved outcomes, with low rates of coronary aneurysms.
Area of Science:
- Pediatric Rheumatology
- Infectious Diseases
- Cardiology
Context:
- Kawasaki disease is a critical multisystem inflammatory illness primarily impacting young children.
- The initial documented case in Iceland occurred in 1979, necessitating a review of the disease's prevalence and characteristics.
- This study examines 19 years of Kawasaki disease cases in Iceland, from 1979 to 1997.
Purpose:
- To retrospectively analyze the incidence, clinical features, and management of Kawasaki disease in Iceland.
- To assess the occurrence of coronary artery abnormalities and treatment outcomes.
- To compare Icelandic incidence rates with other Nordic countries.
Summary:
- A total of 40 children were diagnosed with Kawasaki disease between 1979 and 1997, yielding an annual incidence of 8.5 per 100,000 children under five.
- The male-to-female ratio was 2:1. Coronary aneurysms were identified in 13% of patients who underwent echocardiography, and one patient (2.5%) died from cardiac complications.
- Treatment with intravenous immunoglobulins was administered to 90% of patients diagnosed after 1987, with favorable results.
Impact:
- The incidence in Iceland aligns with rates reported in other Nordic nations, suggesting similar environmental or genetic factors.
- The study highlights the importance of timely diagnosis and treatment, particularly with intravenous immunoglobulins, to mitigate cardiac sequelae.
- Findings provide valuable epidemiological data for public health planning and further research into Kawasaki disease.
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