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Kawasaki Disease in India, Lessons Learnt Over the Last 20 Years
Surjit Singh1, Tomisaku Kawasaki
1Allergy Immunology Unit, Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India; and the *Japan Kawasaki Disease Research Centre, Chiyoda-Ku, Tokyo, Japan Correspondence to: Dr Surjit Singh, Professor of Pediatrics and Incharge Allergy Immunology Unit, Advanced Pediatrics Centre, PGIMER, Chandigarh 160 012, India. surjitsinghpgi@rediffmail.com.
Kawasaki disease is increasingly diagnosed in Indian children, potentially becoming the leading cause of acquired heart disease. Early diagnosis and treatment are crucial to prevent serious coronary artery abnormalities.
Area of Science:
- Pediatrics
- Cardiology
- Immunology
Background:
- Kawasaki disease (KD) is increasingly recognized in India.
- It may soon surpass acute rheumatic fever as the most common cause of pediatric acquired heart disease.
- A significant number of KD cases in India remain undiagnosed.
Purpose of the Study:
- To highlight the growing prevalence of Kawasaki disease in India.
- To emphasize the importance of familiarizing pediatricians with KD diagnostic criteria.
- To underscore the need for early diagnosis and prompt treatment to mitigate cardiac complications.
Main Methods:
- Review of clinical findings and temporal sequence in Kawasaki disease diagnosis.
- Emphasis on the diagnostic challenges and nuances in the Indian context.
- Discussion of the impact of delayed diagnosis on patient outcomes.
Main Results:
- Kawasaki disease is on the rise in India.
- Undiagnosed cases of Kawasaki disease are prevalent.
- Familiarity with clinical diagnosis is essential for timely intervention.
Conclusions:
- Pediatricians must be adept at diagnosing Kawasaki disease based on clinical signs.
- Early detection and treatment significantly reduce the risk of coronary artery abnormalities.
- Increased awareness and diagnostic proficiency are vital for managing Kawasaki disease in India.
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