Kawasaki Disease: A Never-ending Story?

The most severe complication of Kawasaki disease, an inflammatory disorder of young children, is the formation of coronary artery aneurysms. It is known that patients with coronary artery aneurysms, particularly those with medium and large lesions, have a higher risk of future major cardiovascular e...

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Main Authors: Alessandro Cavalcanti Lianza, Maria de Fátima Rodrigues Diniz, Karen Saori Shiraishi Sawamura, Carolina da Rocha Brito Menezes, Isabela de Sousa Lobo Silva, Gabriela Nunes Leal
Format: Article
Language:English
Published: Radcliffe Medical Media 2023-07-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2023.15
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author Alessandro Cavalcanti Lianza
Maria de Fátima Rodrigues Diniz
Karen Saori Shiraishi Sawamura
Carolina da Rocha Brito Menezes
Isabela de Sousa Lobo Silva
Gabriela Nunes Leal
author_facet Alessandro Cavalcanti Lianza
Maria de Fátima Rodrigues Diniz
Karen Saori Shiraishi Sawamura
Carolina da Rocha Brito Menezes
Isabela de Sousa Lobo Silva
Gabriela Nunes Leal
author_sort Alessandro Cavalcanti Lianza
collection DOAJ
description The most severe complication of Kawasaki disease, an inflammatory disorder of young children, is the formation of coronary artery aneurysms. It is known that patients with coronary artery aneurysms, particularly those with medium and large lesions, have a higher risk of future major cardiovascular events. In contrast, there is a lack of data on the cardiovascular status in long-term follow-up for Kawasaki disease patients without coronary involvement or with self-limited coronary artery aneurysms, resulting in most patients being discharged after 5 years. Even though some paediatricians may believe these patients should not be followed at all, studies indicating a dysfunctional endothelium show the need for further investigation. Consequently, a review of the most significant aspects of Kawasaki disease, and the necessity of correctly identifying, treating and monitoring these patients, particularly those with a higher risk of complications, was conducted.
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spelling doaj.art-b6d0051f69794af5805bc4d910f001c62024-04-20T16:03:33ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642023-07-011810.15420/ecr.2023.15Kawasaki Disease: A Never-ending Story?Alessandro Cavalcanti Lianza0Maria de Fátima Rodrigues Diniz1Karen Saori Shiraishi Sawamura2Carolina da Rocha Brito Menezes3Isabela de Sousa Lobo Silva4Gabriela Nunes Leal5Echocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital do Coração de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital Israelita Albert Einstein, São Paulo, BrazilEchocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital Sírio-Libanês, São Paulo, BrazilEchocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital do Coração de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital Israelita Albert Einstein, São Paulo, BrazilEchocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Maternidade São Luiz Star, São Paulo, BrazilEchocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric Cardiology, Hospital Samaritano, São Paulo, BrazilEchocardiography Laboratory, Instituto da Criança e do Adolescente do Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital do Coração de São Paulo, São Paulo, Brazil; Department of Paediatric and Foetal Echocardiography, Hospital Sírio-Libanês, São Paulo, BrazilThe most severe complication of Kawasaki disease, an inflammatory disorder of young children, is the formation of coronary artery aneurysms. It is known that patients with coronary artery aneurysms, particularly those with medium and large lesions, have a higher risk of future major cardiovascular events. In contrast, there is a lack of data on the cardiovascular status in long-term follow-up for Kawasaki disease patients without coronary involvement or with self-limited coronary artery aneurysms, resulting in most patients being discharged after 5 years. Even though some paediatricians may believe these patients should not be followed at all, studies indicating a dysfunctional endothelium show the need for further investigation. Consequently, a review of the most significant aspects of Kawasaki disease, and the necessity of correctly identifying, treating and monitoring these patients, particularly those with a higher risk of complications, was conducted.https://www.ecrjournal.com/articleindex/ecr.2023.15
spellingShingle Alessandro Cavalcanti Lianza
Maria de Fátima Rodrigues Diniz
Karen Saori Shiraishi Sawamura
Carolina da Rocha Brito Menezes
Isabela de Sousa Lobo Silva
Gabriela Nunes Leal
Kawasaki Disease: A Never-ending Story?
European Cardiology Review
title Kawasaki Disease: A Never-ending Story?
title_full Kawasaki Disease: A Never-ending Story?
title_fullStr Kawasaki Disease: A Never-ending Story?
title_full_unstemmed Kawasaki Disease: A Never-ending Story?
title_short Kawasaki Disease: A Never-ending Story?
title_sort kawasaki disease a never ending story
url https://www.ecrjournal.com/articleindex/ecr.2023.15
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