Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network
Objective: To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants
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| Veröffentlicht in: | Frontiers in pediatrics 2020-07, Vol.8, p.384-384 |
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| creator | Moreno, Elizabeth Garcia, S. Diana Bainto, Emelia Salgado, Andrea P. Parish, Austin Rosellini, Benjamin D. Ulloa-Gutierrez, Rolando Garrido-Garcia, Luis M. Dueñas, Lourdes Estripeaut, Dora Luciani, Kathia Rodríguez-Quiroz, Francisco J. del Aguila, Olguita Camacho-Moreno, Germán Gómez, Virgen Viviani, Tamara Alvarez-Olmos, Martha I. de Souza Marques, Heloisa Helena Faugier-Fuentes, Enrique Saltigeral-Simental, Patricia López-Medina, Eduardo Miño-León, Greta Beltrán, Sandra Martínez-Medina, Lucila Pirez, Maria C. Cofré, Fernanda Tremoulet, Adriana H. |
| description | Objective:
To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants |
| doi_str_mv | 10.3389/fped.2020.00384 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_proquest_miscellaneous_2431819948</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_627c718b32bb4a60abceb106cf0e4c78</doaj_id><sourcerecordid>2431819948</sourcerecordid><originalsourceid>FETCH-LOGICAL-c436t-575ae8d42f58237af68c1e8e498fff6adff44e784943a53bba1ba73841229eb83</originalsourceid><addsrcrecordid>eNpVkk1v1DAQhiMEolXpmauPXHbrrzgOB6SoFFh1t0WwHDhZk2S8mzZrL3ZC1b_DL8XZrRD1xZ7xzPPaozfL3jI6F0KXF3aP7ZxTTueUCi1fZKecl2rGhaIv_zufZOcx3tG0yoLmLH-dnQheKMW0Os3-fA0Y0Q0wdN4RcC25HYfG7zASb8k1PECE-4587CJCRNI5skyljlQ7DF0DjiycBTdE8tOPboOBrLcpqcjKu2F7YFQbfE8qshr71HeQgf4YNUk3dXwfxvZxqhy2SL5dXVerZbVe3FTkBocHH-7fZK8s9BHPn_az7Menq_Xll9ny9vPislrOGinUMMuLHFC3kttcc1GAVbphqFGW2lqroLVWSiy0LKWAXNQ1sBqKNDeWJoW1FmfZ4shtPdyZfeh2EB6Nh84cEj5sDIT06h6N4kVTMF0LXtcSFIW6wZpR1ViKsikm1ocjaz_WO2ynnwbon0Gf37huazb-tylE6tYiAd49AYL_NWIczK6LDfY9OPRjNFwKpllZyknr4ljaBB9jQPtPhlEzGcVMRjGTUczBKOIvfqix1Q</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2431819948</pqid></control><display><type>article</type><title>Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Moreno, Elizabeth ; Garcia, S. Diana ; Bainto, Emelia ; Salgado, Andrea P. ; Parish, Austin ; Rosellini, Benjamin D. ; Ulloa-Gutierrez, Rolando ; Garrido-Garcia, Luis M. ; Dueñas, Lourdes ; Estripeaut, Dora ; Luciani, Kathia ; Rodríguez-Quiroz, Francisco J. ; del Aguila, Olguita ; Camacho-Moreno, Germán ; Gómez, Virgen ; Viviani, Tamara ; Alvarez-Olmos, Martha I. ; de Souza Marques, Heloisa Helena ; Faugier-Fuentes, Enrique ; Saltigeral-Simental, Patricia ; López-Medina, Eduardo ; Miño-León, Greta ; Beltrán, Sandra ; Martínez-Medina, Lucila ; Pirez, Maria C. ; Cofré, Fernanda ; Tremoulet, Adriana H.</creator><creatorcontrib>Moreno, Elizabeth ; Garcia, S. Diana ; Bainto, Emelia ; Salgado, Andrea P. ; Parish, Austin ; Rosellini, Benjamin D. ; Ulloa-Gutierrez, Rolando ; Garrido-Garcia, Luis M. ; Dueñas, Lourdes ; Estripeaut, Dora ; Luciani, Kathia ; Rodríguez-Quiroz, Francisco J. ; del Aguila, Olguita ; Camacho-Moreno, Germán ; Gómez, Virgen ; Viviani, Tamara ; Alvarez-Olmos, Martha I. ; de Souza Marques, Heloisa Helena ; Faugier-Fuentes, Enrique ; Saltigeral-Simental, Patricia ; López-Medina, Eduardo ; Miño-León, Greta ; Beltrán, Sandra ; Martínez-Medina, Lucila ; Pirez, Maria C. ; Cofré, Fernanda ; Tremoulet, Adriana H.</creatorcontrib><description>Objective:
To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants <6 months of age as compared to those ≥6 months in Latin America.
Methods:
We evaluated 36 infants <6 months old and 940 infants ≥6 months old diagnosed with KD in Latin America. We compared differences in laboratory data, clinical presentation, treatment response, and coronary artery outcomes between the two cohorts.
Results:
The majority (78.1%) of infants and children ≥6 months of age were initially diagnosed with KD, as compared to only 38.2% of infants <6 months. Clinical features of KD were more commonly observed in the older cohort: oral changes (92 vs. 75%,
P
= 0.0023), extremity changes (74.6 vs. 57.1%,
P
= 0.029), and cervical lymphadenopathy (67.6 vs. 37.1%,
P
= 0.0004). Whether treated in the first 10 days of illness or after the 10th day, infants <6 months were at greater risk of developing a coronary artery aneurysm compared to KD patients ≥6 months treated at the same point in the course of illness [ ≤ 10 days (53.8 vs. 9.4%,
P
= 0.00012); >10 days (50 vs. 7.4%,
P
= 0.043)].
Conclusion:
Our data show that despite treatment in the first 10 days of illness, infants <6 months of age in Latin America have a higher risk of developing a coronary artery aneurysm. Delay in the diagnosis leads to larger coronary artery aneurysms disproportionately in these infants. Thus, suspicion for KD should be high in this vulnerable population.</description><identifier>ISSN: 2296-2360</identifier><identifier>EISSN: 2296-2360</identifier><identifier>DOI: 10.3389/fped.2020.00384</identifier><identifier>PMID: 32766186</identifier><language>eng</language><publisher>Frontiers Media S.A</publisher><subject>coronary artery abnormalities ; delayed diagnosis ; infants ; Kawasaki disease ; Latin America ; Pediatrics</subject><ispartof>Frontiers in pediatrics, 2020-07, Vol.8, p.384-384</ispartof><rights>Copyright © 2020 Moreno, Garcia, Bainto, Salgado, Parish, Rosellini, Ulloa-Gutierrez, Garrido-Garcia, Dueñas, Estripeaut, Luciani, Rodríguez-Quiroz, del Aguila, Camacho-Moreno, Gómez, Viviani, Alvarez-Olmos, de Souza Marques, Faugier-Fuentes, Saltigeral-Simental, López-Medina, Miño-León, Beltrán, Martínez-Medina, Pirez, Cofré, Tremoulet and the REKAMLATINA-2 Study Group Investigators. 2020 Moreno, Garcia, Bainto, Salgado, Parish, Rosellini, Ulloa-Gutierrez, Garrido-Garcia, Dueñas, Estripeaut, Luciani, Rodríguez-Quiroz, del Aguila, Camacho-Moreno, Gómez, Viviani, Alvarez-Olmos, de Souza Marques, Faugier-Fuentes, Saltigeral-Simental, López-Medina, Miño-León, Beltrán, Martínez-Medina, Pirez, Cofré, Tremoulet and the REKAMLATINA-2 Study Group Investigators</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-575ae8d42f58237af68c1e8e498fff6adff44e784943a53bba1ba73841229eb83</citedby><cites>FETCH-LOGICAL-c436t-575ae8d42f58237af68c1e8e498fff6adff44e784943a53bba1ba73841229eb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378383/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378383/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Moreno, Elizabeth</creatorcontrib><creatorcontrib>Garcia, S. Diana</creatorcontrib><creatorcontrib>Bainto, Emelia</creatorcontrib><creatorcontrib>Salgado, Andrea P.</creatorcontrib><creatorcontrib>Parish, Austin</creatorcontrib><creatorcontrib>Rosellini, Benjamin D.</creatorcontrib><creatorcontrib>Ulloa-Gutierrez, Rolando</creatorcontrib><creatorcontrib>Garrido-Garcia, Luis M.</creatorcontrib><creatorcontrib>Dueñas, Lourdes</creatorcontrib><creatorcontrib>Estripeaut, Dora</creatorcontrib><creatorcontrib>Luciani, Kathia</creatorcontrib><creatorcontrib>Rodríguez-Quiroz, Francisco J.</creatorcontrib><creatorcontrib>del Aguila, Olguita</creatorcontrib><creatorcontrib>Camacho-Moreno, Germán</creatorcontrib><creatorcontrib>Gómez, Virgen</creatorcontrib><creatorcontrib>Viviani, Tamara</creatorcontrib><creatorcontrib>Alvarez-Olmos, Martha I.</creatorcontrib><creatorcontrib>de Souza Marques, Heloisa Helena</creatorcontrib><creatorcontrib>Faugier-Fuentes, Enrique</creatorcontrib><creatorcontrib>Saltigeral-Simental, Patricia</creatorcontrib><creatorcontrib>López-Medina, Eduardo</creatorcontrib><creatorcontrib>Miño-León, Greta</creatorcontrib><creatorcontrib>Beltrán, Sandra</creatorcontrib><creatorcontrib>Martínez-Medina, Lucila</creatorcontrib><creatorcontrib>Pirez, Maria C.</creatorcontrib><creatorcontrib>Cofré, Fernanda</creatorcontrib><creatorcontrib>Tremoulet, Adriana H.</creatorcontrib><title>Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network</title><title>Frontiers in pediatrics</title><description>Objective:
To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants <6 months of age as compared to those ≥6 months in Latin America.
Methods:
We evaluated 36 infants <6 months old and 940 infants ≥6 months old diagnosed with KD in Latin America. We compared differences in laboratory data, clinical presentation, treatment response, and coronary artery outcomes between the two cohorts.
Results:
The majority (78.1%) of infants and children ≥6 months of age were initially diagnosed with KD, as compared to only 38.2% of infants <6 months. Clinical features of KD were more commonly observed in the older cohort: oral changes (92 vs. 75%,
P
= 0.0023), extremity changes (74.6 vs. 57.1%,
P
= 0.029), and cervical lymphadenopathy (67.6 vs. 37.1%,
P
= 0.0004). Whether treated in the first 10 days of illness or after the 10th day, infants <6 months were at greater risk of developing a coronary artery aneurysm compared to KD patients ≥6 months treated at the same point in the course of illness [ ≤ 10 days (53.8 vs. 9.4%,
P
= 0.00012); >10 days (50 vs. 7.4%,
P
= 0.043)].
Conclusion:
Our data show that despite treatment in the first 10 days of illness, infants <6 months of age in Latin America have a higher risk of developing a coronary artery aneurysm. Delay in the diagnosis leads to larger coronary artery aneurysms disproportionately in these infants. Thus, suspicion for KD should be high in this vulnerable population.</description><subject>coronary artery abnormalities</subject><subject>delayed diagnosis</subject><subject>infants</subject><subject>Kawasaki disease</subject><subject>Latin America</subject><subject>Pediatrics</subject><issn>2296-2360</issn><issn>2296-2360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkk1v1DAQhiMEolXpmauPXHbrrzgOB6SoFFh1t0WwHDhZk2S8mzZrL3ZC1b_DL8XZrRD1xZ7xzPPaozfL3jI6F0KXF3aP7ZxTTueUCi1fZKecl2rGhaIv_zufZOcx3tG0yoLmLH-dnQheKMW0Os3-fA0Y0Q0wdN4RcC25HYfG7zASb8k1PECE-4587CJCRNI5skyljlQ7DF0DjiycBTdE8tOPboOBrLcpqcjKu2F7YFQbfE8qshr71HeQgf4YNUk3dXwfxvZxqhy2SL5dXVerZbVe3FTkBocHH-7fZK8s9BHPn_az7Menq_Xll9ny9vPislrOGinUMMuLHFC3kttcc1GAVbphqFGW2lqroLVWSiy0LKWAXNQ1sBqKNDeWJoW1FmfZ4shtPdyZfeh2EB6Nh84cEj5sDIT06h6N4kVTMF0LXtcSFIW6wZpR1ViKsikm1ocjaz_WO2ynnwbon0Gf37huazb-tylE6tYiAd49AYL_NWIczK6LDfY9OPRjNFwKpllZyknr4ljaBB9jQPtPhlEzGcVMRjGTUczBKOIvfqix1Q</recordid><startdate>20200716</startdate><enddate>20200716</enddate><creator>Moreno, Elizabeth</creator><creator>Garcia, S. Diana</creator><creator>Bainto, Emelia</creator><creator>Salgado, Andrea P.</creator><creator>Parish, Austin</creator><creator>Rosellini, Benjamin D.</creator><creator>Ulloa-Gutierrez, Rolando</creator><creator>Garrido-Garcia, Luis M.</creator><creator>Dueñas, Lourdes</creator><creator>Estripeaut, Dora</creator><creator>Luciani, Kathia</creator><creator>Rodríguez-Quiroz, Francisco J.</creator><creator>del Aguila, Olguita</creator><creator>Camacho-Moreno, Germán</creator><creator>Gómez, Virgen</creator><creator>Viviani, Tamara</creator><creator>Alvarez-Olmos, Martha I.</creator><creator>de Souza Marques, Heloisa Helena</creator><creator>Faugier-Fuentes, Enrique</creator><creator>Saltigeral-Simental, Patricia</creator><creator>López-Medina, Eduardo</creator><creator>Miño-León, Greta</creator><creator>Beltrán, Sandra</creator><creator>Martínez-Medina, Lucila</creator><creator>Pirez, Maria C.</creator><creator>Cofré, Fernanda</creator><creator>Tremoulet, Adriana H.</creator><general>Frontiers Media S.A</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20200716</creationdate><title>Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network</title><author>Moreno, Elizabeth ; Garcia, S. Diana ; Bainto, Emelia ; Salgado, Andrea P. ; Parish, Austin ; Rosellini, Benjamin D. ; Ulloa-Gutierrez, Rolando ; Garrido-Garcia, Luis M. ; Dueñas, Lourdes ; Estripeaut, Dora ; Luciani, Kathia ; Rodríguez-Quiroz, Francisco J. ; del Aguila, Olguita ; Camacho-Moreno, Germán ; Gómez, Virgen ; Viviani, Tamara ; Alvarez-Olmos, Martha I. ; de Souza Marques, Heloisa Helena ; Faugier-Fuentes, Enrique ; Saltigeral-Simental, Patricia ; López-Medina, Eduardo ; Miño-León, Greta ; Beltrán, Sandra ; Martínez-Medina, Lucila ; Pirez, Maria C. ; Cofré, Fernanda ; Tremoulet, Adriana H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-575ae8d42f58237af68c1e8e498fff6adff44e784943a53bba1ba73841229eb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>coronary artery abnormalities</topic><topic>delayed diagnosis</topic><topic>infants</topic><topic>Kawasaki disease</topic><topic>Latin America</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreno, Elizabeth</creatorcontrib><creatorcontrib>Garcia, S. Diana</creatorcontrib><creatorcontrib>Bainto, Emelia</creatorcontrib><creatorcontrib>Salgado, Andrea P.</creatorcontrib><creatorcontrib>Parish, Austin</creatorcontrib><creatorcontrib>Rosellini, Benjamin D.</creatorcontrib><creatorcontrib>Ulloa-Gutierrez, Rolando</creatorcontrib><creatorcontrib>Garrido-Garcia, Luis M.</creatorcontrib><creatorcontrib>Dueñas, Lourdes</creatorcontrib><creatorcontrib>Estripeaut, Dora</creatorcontrib><creatorcontrib>Luciani, Kathia</creatorcontrib><creatorcontrib>Rodríguez-Quiroz, Francisco J.</creatorcontrib><creatorcontrib>del Aguila, Olguita</creatorcontrib><creatorcontrib>Camacho-Moreno, Germán</creatorcontrib><creatorcontrib>Gómez, Virgen</creatorcontrib><creatorcontrib>Viviani, Tamara</creatorcontrib><creatorcontrib>Alvarez-Olmos, Martha I.</creatorcontrib><creatorcontrib>de Souza Marques, Heloisa Helena</creatorcontrib><creatorcontrib>Faugier-Fuentes, Enrique</creatorcontrib><creatorcontrib>Saltigeral-Simental, Patricia</creatorcontrib><creatorcontrib>López-Medina, Eduardo</creatorcontrib><creatorcontrib>Miño-León, Greta</creatorcontrib><creatorcontrib>Beltrán, Sandra</creatorcontrib><creatorcontrib>Martínez-Medina, Lucila</creatorcontrib><creatorcontrib>Pirez, Maria C.</creatorcontrib><creatorcontrib>Cofré, Fernanda</creatorcontrib><creatorcontrib>Tremoulet, Adriana H.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreno, Elizabeth</au><au>Garcia, S. Diana</au><au>Bainto, Emelia</au><au>Salgado, Andrea P.</au><au>Parish, Austin</au><au>Rosellini, Benjamin D.</au><au>Ulloa-Gutierrez, Rolando</au><au>Garrido-Garcia, Luis M.</au><au>Dueñas, Lourdes</au><au>Estripeaut, Dora</au><au>Luciani, Kathia</au><au>Rodríguez-Quiroz, Francisco J.</au><au>del Aguila, Olguita</au><au>Camacho-Moreno, Germán</au><au>Gómez, Virgen</au><au>Viviani, Tamara</au><au>Alvarez-Olmos, Martha I.</au><au>de Souza Marques, Heloisa Helena</au><au>Faugier-Fuentes, Enrique</au><au>Saltigeral-Simental, Patricia</au><au>López-Medina, Eduardo</au><au>Miño-León, Greta</au><au>Beltrán, Sandra</au><au>Martínez-Medina, Lucila</au><au>Pirez, Maria C.</au><au>Cofré, Fernanda</au><au>Tremoulet, Adriana H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network</atitle><jtitle>Frontiers in pediatrics</jtitle><date>2020-07-16</date><risdate>2020</risdate><volume>8</volume><spage>384</spage><epage>384</epage><pages>384-384</pages><issn>2296-2360</issn><eissn>2296-2360</eissn><abstract>Objective:
To characterize the clinical presentation and outcomes of Kawasaki disease (KD) in infants <6 months of age as compared to those ≥6 months in Latin America.
Methods:
We evaluated 36 infants <6 months old and 940 infants ≥6 months old diagnosed with KD in Latin America. We compared differences in laboratory data, clinical presentation, treatment response, and coronary artery outcomes between the two cohorts.
Results:
The majority (78.1%) of infants and children ≥6 months of age were initially diagnosed with KD, as compared to only 38.2% of infants <6 months. Clinical features of KD were more commonly observed in the older cohort: oral changes (92 vs. 75%,
P
= 0.0023), extremity changes (74.6 vs. 57.1%,
P
= 0.029), and cervical lymphadenopathy (67.6 vs. 37.1%,
P
= 0.0004). Whether treated in the first 10 days of illness or after the 10th day, infants <6 months were at greater risk of developing a coronary artery aneurysm compared to KD patients ≥6 months treated at the same point in the course of illness [ ≤ 10 days (53.8 vs. 9.4%,
P
= 0.00012); >10 days (50 vs. 7.4%,
P
= 0.043)].
Conclusion:
Our data show that despite treatment in the first 10 days of illness, infants <6 months of age in Latin America have a higher risk of developing a coronary artery aneurysm. Delay in the diagnosis leads to larger coronary artery aneurysms disproportionately in these infants. Thus, suspicion for KD should be high in this vulnerable population.</abstract><pub>Frontiers Media S.A</pub><pmid>32766186</pmid><doi>10.3389/fped.2020.00384</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2296-2360 |
| ispartof | Frontiers in pediatrics, 2020-07, Vol.8, p.384-384 |
| issn | 2296-2360 2296-2360 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2431819948 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | coronary artery abnormalities delayed diagnosis infants Kawasaki disease Latin America Pediatrics |
| title | Presentation and Outcomes of Kawasaki Disease in Latin American Infants Younger Than 6 Months of Age: A Multinational Multicenter Study of the REKAMLATINA Network |
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