โรคคาวาซากิ ในโรงพยาบาลพหลพลพยุหเสนา

บทคัดย่อ

          A retrospective study of all patients who were diagnosed to have Kawasaki disease (KD) at Paholpolpayuhasena hospital from November 2001 to November 2004. Ten patients were identified. The mean of age was 25.2 ± 19 months. The male to female ratio was 1.5 : 1. Among them, three patients were incomplete KD because they did not meet American Heart Association (AHA) diagnostic criteria.

          Result: Incomplete KD patients were found to have less frequently of rash and conjunctivitis than typical KD group. The values of hemoglobin and erythrocyte sedimentation rate (ESR) in incomplete KD group were lower than typical KD patients. Four patients had coronary artery abnormalities (CAA) by echocardiographic examination. Three of them were incomplete KD group and none of them received intravenous immunoglobulin (IVIG). However, coronary arteries were eventually resolved on the follow up examination.