Sequelae of Kawasaki disease in adolescents and young adults
- Burns, Jane C.
- Shike, Hiroko
- Gordon, John B.
- Malhotra, Alka
- Schoenwetter, Melissa
- Kawasaki, Tomisaku
DOIAbstract
AbstractKawasaki disease is an acute vasculitis of unknown etiology that predominantly affects children <5 years of age. Structural damage to the coronary arteries after the acute, self-limited illness is detected by echocardiography in ∼25% of untreated patients. The long-term effects of the acute coronary arteritis are unknown. To define the spectrum of clinical disease in young adults that can be attributed to Kawasaki disease in childhood, we performed a retrospective survey of cases reported in the English and Japanese published data of adult coronary artery disease attributed to antecedent Kawasaki disease. The mean age at presentation with cardiac sequelae was 24.7 ± 8.4 years (range 12 to 39) for the 74 patients identified with pres...
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