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March 1, 2022Indian Journal of RheumatologyOpen Access

A Comparative Study to Assess Vascular Health in Previously Diagnosed Patients of Kawasaki Disease

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Why the study?

Long-term follow-up shows persistent endothelial dysfunction predisposing to atherosclerosis in post-Kawasaki disease patients, prompting study to establish endothelial dysfunction and correlate it with premature atherosclerosis.

Do patients previously diagnosed with Kawasaki disease exhibit persistent endothelial dysfunction and premature atherosclerosis compared to age-matched controls?

Comparison

Kawasaki disease patients vs age matched control population

Design

Prospective comparative study

Follow-up

6 months

Key result

Kawasaki disease was associated with persistent endothelial dysfunction, evidenced by significantly elevated CRP (p=0.0005), cholesterol, triglycerides, and abnormal arterial Doppler indices compared to controls.

Authors

MMMalabika MaityDMDebadatta MukhopadhyayTSTapas Sabui

Discussion

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Member takes

Overview

May warrant endothelial surveillance in Kawasaki survivors; leaves open atherosclerosis causality pending prospective data.

Study Design

Type

Observational

Structured PICO

Do patients previously diagnosed with Kawasaki disease exhibit persistent endothelial dysfunction and premature atherosclerosis compared to age-matched controls?

P
Population
30 patients with Kawasaki disease aged 6 months to 20 years compared to age-matched controls, evaluated twice at 6-month intervals.
C
Comparator
Age-matched control population
O
Outcome
Endothelial dysfunction and premature atherosclerosis measured by CRP, lipid profile, and USG Doppler/echocardiography parameters (CAD-IT, ATA-RI, PTA-RI, coronary involvement)surrogate

Main Result

p-value: p=0.0005

Patients with a history of Kawasaki disease demonstrate persistent endothelial dysfunction and abnormal vascular parameters, highlighting the need for long-term cardiovascular follow-up.

Cite This Study

Maity et al. (2022) conducted an observational in Kawasaki disease. Kawasaki disease vs. Age matched control population was evaluated on Endothelial dysfunction markers including CRP levels, lipid profile, and USG Doppler indices (p=0.0005). Kawasaki disease was associated with persistent endothelial dysfunction, evidenced by significantly elevated CRP (p=0.0005), cholesterol, triglycerides, and abnormal arterial Doppler indices compared to controls.

synapsesocial.com/papers/6a932a64548ef3f536c13fa5https://doi.org/10.4103/injr.injr_263_20
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