Nationwide survey on Kawasaki disease in Japan

Pediatrics
|July 1, 1987
PubMed

Insights

Kawasaki disease affects over 63,000 patients, with incidence peaking at age 1 and significant cardiac sequelae in 17.2% within a month. This nationwide survey highlights epidemic years and common treatments like aspirin.

Area of Science:

  • Pediatrics
  • Epidemiology
  • Public Health

Background:

  • Kawasaki disease is a significant pediatric illness with potential cardiac complications.
  • Understanding its epidemiology is crucial for public health interventions.

Purpose of the Study:

  • To statistically analyze the nationwide incidence and characteristics of Kawasaki disease.
  • To report on treatment modalities and the occurrence of cardiac sequelae.

Main Methods:

  • Nationwide survey data collection from July 1982 to December 1984.
  • Statistical analysis of patient demographics, incidence rates, treatment, and outcomes.

Main Results:

  • A total of 63,399 cases were reported, with a male to female ratio of 1.4.
  • Incidence peaked at age 1 year, with epidemic years in 1979 and 1982.
  • Cardiac sequelae occurred in 17.2% of patients within one month; aspirin was the most common treatment (89.8%).

Conclusions:

  • Kawasaki disease exhibits epidemic patterns and a distinct age incidence peak.
  • A significant proportion of patients develop cardiac sequelae, emphasizing the need for timely diagnosis and management.

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