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HK J Paediatr (New Series)
Vol 1. No. 2,
1996
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HK J Paediatr (New Series) 1996;1:211
Proceedings of Clinical Meeting
Epidemiological and Clinical Aspects of Kawasaki Disease in Chinese Children
LY So LY So Department of Paediatrics, Prince of Wales Hospital, and The Chinese University of Hong Kong, Hong Kong
| HK J Paediatr (new series) 1996;1:207-220 The First Joint Scientific Meeting of Hong Kong College of Paediatricians and Guangdong Pediatric Society of the Chinese Medical Association
May 25, 1996 | Background Kawasaki disease is common in Orientals but the incidence in Chinese communities remains to be determined. Methods The epidemiological and clinical aspects of children with Kawasaki disease in a finite population were studied over 5 years. The usual diagnostic criteria were employed but some degree of flexibility was exercised to enable early diagnosis and treatment. Results 60 boys and 30 girls were diagnosed to have Kawasaki disease from July, 1989 to June, 1994. The age ranged from 2 months to 11 years with a median of 1.6 years. The average yearly incidence was 25.4 per 100,000 children below five. A duster of 15 cases occurred from August to October in 1990. Significant cervical lymphadenopathy was found in only 28% while the other diagnostic criteria were found in over 90%. Changes in hands and feet were found in 79% in the acute phase while an additional 18% had only convalescent changes so that presumptive diagnosis had to made sometimes to enable early treatment. Echocardiographic changes in the acute phase were used in some cases for early diagnosis. Conclusions Kawasaki disease is common in Chinese children. Some degree of flexibility is required for early diagnosis as there may not be enough clinical diagnostic criteria in the acute phase in some cases.
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