Kawasaki disease and immunodeficiencies in children: case reports and literature review

Kawasaki disease (KD) has features that appear supporting an infectious cause with a secondary deranged inflammatory/autoimmune response. The association of KD in adults with human immunodeficiency virus infection and the presence of KD in patients with immunodeficiency disorders support the infecti...

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Veröffentlicht in:Rheumatology international 2019-10, Vol.39 (10), p.1829-1838
Hauptverfasser: Rivas-Larrauri, Francisco, Aguilar-Zanela, Lorena, Castro-Oteo, Paola, Rosales-Hernandez, Luis Adrian, Otero-Mendoza, Francisco, López-Herrera, Gabriela, Ordoñez-Ortega, Javier, Garrido-García, Martín, Yamazaki-Nakashimada, Marco Antonio
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container_end_page 1838
container_issue 10
container_start_page 1829
container_title Rheumatology international
container_volume 39
creator Rivas-Larrauri, Francisco
Aguilar-Zanela, Lorena
Castro-Oteo, Paola
Rosales-Hernandez, Luis Adrian
Otero-Mendoza, Francisco
López-Herrera, Gabriela
Ordoñez-Ortega, Javier
Garrido-García, Martín
Yamazaki-Nakashimada, Marco Antonio
description Kawasaki disease (KD) has features that appear supporting an infectious cause with a secondary deranged inflammatory/autoimmune response. The association of KD in adults with human immunodeficiency virus infection and the presence of KD in patients with immunodeficiency disorders support the infectious theory. We present four KD patients associated with immunodeficiencies: one with X-linked agammaglobulinemia, one with HIV infection, and two with leukemia; one of these patients also had Down syndrome. We did a literature search to find out all reported cases of immunodeficiency with KD in children. In immunodeficiency disorders, the inability of the immune system to eradicate the pathogens coupled to an exaggerated inflammatory response, especially in chronic granulomatous disease, may lead to the development of KD. The study of patients with immunodeficiencies complicated with KD may shed light into the etiopathogenesis of the disease.
doi_str_mv 10.1007/s00296-019-04382-w
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subjects Adrenal Cortex Hormones - therapeutic use
Agammaglobulinemia - complications
Agammaglobulinemia - diagnosis
Agammaglobulinemia - drug therapy
Agammaglobulinemia - immunology
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Case Based Review
Case reports
Chemotherapy
Child
Child, Preschool
Coronary vessels
Down syndrome
Down Syndrome - complications
Erythema
Fever
Genetic Diseases, X-Linked - complications
Genetic Diseases, X-Linked - diagnosis
Genetic Diseases, X-Linked - drug therapy
Genetic Diseases, X-Linked - immunology
HIV
HIV Infections - complications
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - immunology
Human immunodeficiency virus
Humans
Immune system
Immunocompromised Host
Immunoglobulins
Immunoglobulins, Intravenous - therapeutic use
Infant
Infections
Kawasaki disease
Laboratories
Leukemia
Leukemia - complications
Leukemia - diagnosis
Leukemia - drug therapy
Leukemia - immunology
Literature reviews
Male
Medicine
Medicine & Public Health
Mucocutaneous Lymph Node Syndrome - diagnosis
Mucocutaneous Lymph Node Syndrome - drug therapy
Mucocutaneous Lymph Node Syndrome - immunology
Neutrophils
Patients
Pediatrics
Rheumatology
Risk Factors
Treatment Outcome
Ultrasonic imaging
Veins & arteries
title Kawasaki disease and immunodeficiencies in children: case reports and literature review
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