Evaluation of patients fallowed with diagnosis of kawasaki disease in ankara Baskent University Hospital Faculty of Medicine

Objective: The Kawasaki disease is an unknown disease that is usually seen under 5 years of age. It is an acute systemic vasculitis with a significant morbidity and mortality due to coronary artery involvement. Clinically, it is characterized by long-standing fever over five days, bilateral non-exudative conjunctivitis, redness and cracks in the mouth, erythema in the oral mucosa, polymorphic rash in the body, erythema and edema in distal extremities, and unilateral cervical lymphadenopathy. Coronary artery involvement is the most important prognostic factor. In this study, we aimed to evaluate the demographic characteristics, clinical data, laboratory findings, echocardiographic findings and cardiac catheterization findings of patients who were admitted to Başkent University Medical Faculty Ankara Hospital and treated with Kawasaki Disease. Material and method: Clinical, laboratory features, treatment and follow-up results of 56 patients who were admitted to Başkent University Medical Faculty Ankara Hospital between 2003-2017 and who were followed up with Kawasaki Disease were evaluated retrospectively. Results: The male to female ratio of patients with Kawasaki disease was 2.29. The mean age of diagnosis was 40.1 ± 31.8 months. Diagnosis was most often made in spring and summer. 68.7% of the patients were diagnosed in acute period, IVIG and acetyl salicylic acid treatment were started. The rate of complete / incomplete patient was found to be 3.25. The most common finding after fever was 90.1% of the patients with lip and oral mucosa changes. Coronary artery involvement was detected in 25 of the patients (44.6%). Cardiac catheterization was performed in 23 patients (41.0%). One patient had recurrence and one patient died. Conclusion: Increased knowledge and awareness of the Kawasaki Disease will allow patients to be diagnosed earlier, thus avoiding serious complications. Key words: Kawasaki disease, fever, IVIG, echocardiography, cardiac catheterization