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March 14, 2018JCR Journal of Clinical Rheumatology

Carotid Intima-Media Thickness and Lipid Profile in Children With Kawasaki Disease

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Why the study?

Do children with Kawasaki disease have persistent abnormalities in carotid intima-media thickness and lipid profile at 5-year follow-up?

Population

27 children with Kawasaki disease followed up at least 5 years after the acute episode

Design

Cohort

Follow-up

at least 5 years after the acute episode

Key result

Children with Kawasaki disease had significantly higher mean carotid intima-media thickness than controls, and 7 of 27 children demonstrated abnormal lipid profiles at 5-year follow-up.

Authors

KGKavitha GopalanSSSurjit SinghPVPandiarajan Vignesh

Discussion

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Overview

May support extended surveillance in Kawasaki disease survivors; leaves open prognostic value and need for prospective validation.

Study Design

Type

Cohort (n=27)

Structured PICO

Do children with Kawasaki disease have persistent abnormalities in carotid intima-media thickness and lipid profile at 5-year follow-up?

P
Population
27 children with Kawasaki disease followed up at least 5 years after the acute episode to assess carotid intima-media thickness and lipid profiles.
C
Comparator
Control subjects and historical values from the same cohort at 1-year follow-up
O
Outcome
Carotid intima-media thickness (cIMT) and fasting lipid profilesurrogate

Children with Kawasaki disease exhibit persistent subclinical atherosclerosis markers (increased cIMT) and lipid abnormalities at least 5 years post-acute episode, warranting long-term cardiovascular follow-up.

Cite This Study

Gopalan et al. (2018) conducted a cohort in Kawasaki disease (n=27). Kawasaki disease vs. Control subjects was evaluated on Carotid intima-media thickness (cIMT) and lipid profile. Children with Kawasaki disease had significantly higher mean carotid intima-media thickness than controls, and 7 of 27 children demonstrated abnormal lipid profiles at 5-year follow-up.

synapsesocial.com/papers/6a93aa4c35aeea2fa8b8455chttps://doi.org/10.1097/rhu.0000000000000754
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1KD Diagnosis Does Not Increase Cardiovascular Risk in Children According to Dynamic Intima–Media Roughness Measurements2022 · 2 citations
  2. 2Carotid Intima-Media Thickness in Patients With a History of Kawasaki Disease2015 · 21 citations
  3. 3Cardiovascular risk factors of early atherosclerosis in school-aged children after Kawasaki disease2014 · 32 citations
  4. 4Carotid Intima-Media Thickness and Pulse Wave Velocity After Recovery From Kawasaki Disease2009 · 28 citations
  5. 5A Comparative Study to Assess Vascular Health in Previously Diagnosed Patients of Kawasaki Disease2022