Kawasaki Disease: epidemiology, pathophysiology, diagnosis, and treatment

Authors

  • Ana Clara Abreu Lima de Paula Universidade Federal de Juiz de Fora Author
  • Laura Frinhani Valadão Centro Universitário de Belo Horizonte Author
  • Lucas Pinheiro Costa Faculdade de Ciências Médicas de Minas Gerais Author
  • Marianna Huguenin Cervantes Centro Universitário Serra dos Órgãos - UNIFESO Author
  • Júlia Eduarda Queiroz Grossi Pontifícia Universidade Católica de Minas Gerais - Betim Author
  • Lucas Valadares Motta Pontifícia Universidade Católica de Minas Gerais - Betim Author
  • Luiza Figueiredo Ribeiro Almeida Faculdade de Ciências Médicas de Minas Gerais Author
  • Lucas Dalmaso Pieroni Pontifícia Universidade Católica do Paraná – Campus Curitiba Author
  • Julia Caramatti Ferreira Faculdade de Ciências Médicas de Minas Gerais Author
  • Luísa Lima de Souza e Silva Universidade de Itaúna Author

DOI:

https://doi.org/10.5281/zenodo.13134370

Keywords:

Kawasaki Disease, Rash, Vasculitis

Abstract

Kawasaki Disease (KD) is a systemic vasculitis that predominantly affects children under five years old, being one of the leading causes of acquired heart disease in childhood in developed countries. It is characterized by prolonged fever, skin rashes, and inflammation of multiple organs. The exact etiology of KD is unknown, but it is believed that genetic and environmental factors play a significant role. Diagnosis is based on specific clinical criteria and can be supported by laboratory and imaging tests. Standard treatment includes the administration of intravenous immunoglobulin (IVIG) and aspirin, with therapeutic alternatives available for refractory cases. The prognosis depends on the promptness of diagnosis and the effectiveness of treatment, with the formation of coronary aneurysms being the main long-term complication.

References

BURNS, J.C.; GLODÉ, M.P. Kawasaki syndrome. Lancet. 2004;364(9433):533-544.

FUKAZAWA, R.; YOSHIMURA, K.; MIKAMI, Y.; et al. Recent advances in the treatment and understanding of Kawasaki disease. Journal of Infection and Chemotherapy. 2021;27(4):542-552.

MCCRINDLE, B.W.; NEWBURGER, J.W.; ROWLEY, A.H.; et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals from the American Heart Association. Circulation. 2017;135(17):e927-e999.

NEWBURGER, J.W.; TAKAHASHI, M.; BURNS, J.C. Kawasaki Disease. Journal of the American College of Cardiology. 2016;67(14):1738-1749.

ONOUCHI, Y. The genetics of Kawasaki disease. Current Opinion in Rheumatology. 2018;30(5):651-657.

ROWLEY, A.H. Incomplete (atypical) Kawasaki disease. Pediatric Infectious Disease Journal. 2002;21(6):563-565.

SHULMAN, S.T.; ROWLEY, A.H. Advances in Kawasaki disease. European Journal of Pediatrics. 2004;163(6):285-291.

TREMOULET, A.H.; CHANDRASEKAR, D.; JAIN, S.; et al. Infliximab for intensification of primary therapy for Kawasaki disease: a phase 3 randomised, double-blind, placebo-controlled trial. Lancet. 2014;383(9930):1731-1738.

YOSHIKAWA, N.; KAWAMOTO, T.; UEDA, K.; et al. Coronary artery abnormalities in Kawasaki disease: from acute phase to long-term follow-up. Pediatric Cardiology. 2020;41(6):1122-1131.

Published

2024-07-30

Issue

Section

Articles

How to Cite

PAULA, Ana Clara Abreu Lima de et al. Kawasaki Disease: epidemiology, pathophysiology, diagnosis, and treatment. Journal of Social Issues and Health Sciences (JSIHS), [S. l.], v. 1, n. 4, 2024. DOI: 10.5281/zenodo.13134370. Disponível em: https://ojs.thesiseditora.com.br/index.php/jsihs/article/view/54.. Acesso em: 5 dec. 2025.