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Therapeutic Plasma Exchange Resolves Inflammation With Increased HSD11B1 in Kawasaki Disease
Shuji Sai1,2, Soichiro Wada1, Shigetoshi Ogiwara1
1Department of Pediatrics, Teine-Keijinkai Hospital, Sapporo, Japan.
Abstract:
Kawasaki disease (KD) is an acute inflammatory disorder in children. The important complication of coronary artery aneurysms occurs in treatment-resistant patients. Therapeutic plasma exchange (TPE) has been effective for some refractory KD. Here, we investigated the effectiveness of TPE and how the glucocorticoid amplifying enzyme, 11beta-hydroxysteroid dehydrogenase 1, is involved in the resolution of inflammation in refractory KD.
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