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Journal Profile  :
ISSN No. :2349-7181
Journal Title :Acute Phase Treatment for Infants Younger Than 1 Year of Age with Kawasaki Disease: A Single Center Retrospective Study
Journal URL :https://www.advancedresearchpublications.com/
Publisher Name :Shalini Agnihotri
Country :India
Language :English
Discipline :Multidiciplinary
Organization Name :Advance Research Publications
Frequency :Annual
Start Year :2018
Journal Description :Kawasaki disease (KD) is acute systemic vasculitis of unknown cause that majorly affects the infants and child populations.1 Coronary artery lesions (CAL) are a severe complication of KD. Infants younger than 1 year of age with KD have a high risk for CAL including giant aneurysmus.2-4 However, the appropriate acute phase treatment for the infants has not been established. At present, the standard therapy for the acute phase of this disease is intravenous immunoglobulin (IVIG) therapy at 2 g/ kg/ dose with the concomitant use of medium-or higher-dose aspirin.5 However, the concomitant use of medium- or higher-dose aspirin is now controversial.6 A randomized controlled trial regarding the effectiveness of intravenous immunoglobulin alone and intravenous immunoglobulin combined with high-dose aspirin in the acute stage of KD is ongoing.7 Recent studies have suggested that aspirin may inhibit CAL prevention.8,9 The delayed use of aspirin (DUA) may be beneficial for the prevention of coronary artery stenosis in KD.8, 10-12 This study aimed to ascertain the usefulness of an initial single IVIG therapy (2 g/ kg/ dose) with DUA for the infants younger than 1 year of age with KD.
Licence Type :CC BY
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