G Shivalingam1, G P Prashanth, Kallesh Hebbal, Rodney Aguiar. 1. Department of Pediatrics, Sohar Regional Teaching Hospital, Sohar, Sultanate of Oman. Correspondence to: Dr GP Prashanth, Assistant Professor, Department of Pediatrics, Oman Medical College, PO Box 391, Postal code 321, Sohar, Al-Batinah North Governorate, Sultanate of Oman. prashanth_lucknow@rediffmail.com.
Abstract
OBJECTIVE: To compare the demographic, clinical, and laboratory features of incomplete and complete presentations of Kawasaki disease. METHODS: A retrospective review of the electronic case records between January 2000 and December 2015 in a tertiary care referral center of Sohar, Oman. RESULTS: 31 out of 64 children (48.4%) had incomplete presentation. Children with incomplete presentation had higher incidence of skin rash, lymphadenopathy and conjunctivitis. They took a longer time to show clinical response to intravenous immunoglobulin [mean (SD) 52.6 (17.4) h vs 40.1 (16.4) h, P=0.005], and had prolonged hospitalization [mean (SD) 6.2 (2.5) d vs 4.6 (1.7) d, P=0.009]. CONCLUSION: Children with incomplete presentation of Kawasaki disease tend to have prolonged hospitalization but short- and long-term coronary outcomes appear to be similar.
OBJECTIVE: To compare the demographic, clinical, and laboratory features of incomplete and complete presentations of Kawasaki disease. METHODS: A retrospective review of the electronic case records between January 2000 and December 2015 in a tertiary care referral center of Sohar, Oman. RESULTS: 31 out of 64 children (48.4%) had incomplete presentation. Children with incomplete presentation had higher incidence of skin rash, lymphadenopathy and conjunctivitis. They took a longer time to show clinical response to intravenous immunoglobulin [mean (SD) 52.6 (17.4) h vs 40.1 (16.4) h, P=0.005], and had prolonged hospitalization [mean (SD) 6.2 (2.5) d vs 4.6 (1.7) d, P=0.009]. CONCLUSION:Children with incomplete presentation of Kawasaki disease tend to have prolonged hospitalization but short- and long-term coronary outcomes appear to be similar.