[Present views on Kawasaki's syndrome (author's transl)]

Area of Science:

• Immunology
• Pediatric Cardiology

Context:

• Kawasaki disease is a critical pediatric illness.
• Cardiac complications, including coronary aneurysms, pose significant risks.

Purpose:

• To review the immunological basis of Kawasaki disease.
• To discuss cardiac involvement and its prognostic implications.
• To evaluate advancements in diagnosis and treatment.

Summary:

• Evidence supports an immunological mechanism in Kawasaki disease pathogenesis.
• Cardiac sequelae are a major concern, impacting patient outcomes.
• Advances in ultrasonography and therapeutics have improved prognosis.

Impact:

• Reduced mortality rates in Kawasaki disease patients.
• Enhanced understanding of disease mechanisms.
• Improved long-term surveillance strategies for affected children.