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What are the epidemiological features and risk factors for coronary artery lesions in Kawasaki Disease in Shanghai?
What are the epidemiological features and risk factors for coronary artery lesions in Kawasaki Disease in Shanghai?
The incidence of Kawasaki Disease in Shanghai increased from 2013 to 2017, but the proportion of coronary artery lesions decreased, with specific clinical and laboratory factors predicting lesion development.
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Rising KD incidence with declining CAL in Shanghai supports heightened surveillance; leaves open validation of listed CAL risk factors in prospective cohorts.
The incidence of KD in Shanghai had substantially increased while the proportion of CAL had substantially decreased as compared with our previous surveys. Higher platelet levels, lower albumin levels, male sex, incomplete KD, IVIG resistance, and receiving initial IVIG ≤4 days or >10 days, were risk factors for CAL.
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Xie et al. (2019) studied this question.
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