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J. Korean Med. Sci. · Dec 2023
Clinical and Laboratory Characteristics of Kawasaki Disease and COVID-19-Related Multisystem Inflammatory Syndrome in Children.
- Duc Long Phi, Thi Loi Dao, Minh Manh To, Thanh Binh Nguyen, Duy Cuong Nguyen, Philippe Gautret, and Van Thuan Hoang.
- Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
- J. Korean Med. Sci. 2023 Dec 18; 38 (49): e410e410.
AbstractGeographical and racial factors constitute important distinctions between Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C), but no study has been conducted in Vietnam. Forty-one children with KD from January 2018 to July 2020 and 42 with KD/MIS-C from August 2020 to December 2022 were included in this study. Of the patients, 52.3% were aged between 12 and 35 months. Only two were aged over 5 years, and both were belong to the KD/MIS-C group. A 59.5% of the patients were male. Apart from fever, all symptoms tended to be more frequent in patients with KD/MIS-C. The prevalence of diffuse skin rash, hand and foot edema or erythema and gastrointestinal signs was significantly higher in patients hospitalized with KD/MIS-C. There was no significant difference in laboratory findings between the two groups. Coronary artery dilation was more frequently observed in patients with KD/MIS-C compared to those with KD (40.5% vs. 14.6%, P = 0.009).© 2023 The Korean Academy of Medical Sciences.
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