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Kawasaki disease: an evidence based approach to diagnosis, treatment, and proposals for future research
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  • Published on:
    Bacterial coincidence and Atypical Kawasaki
    • BR Pal, Consultant Paediatrician (locum)
    • Other Contributors:
      • Thomson K, Cusack M, Edwards J, Venning H

    Dear Editor

    In their very helpful review Brogan et al1 outlined diagnostic and atypical features of Kawasaki Disease (KD).

    We would like to illustrate the difficult dilemmas facing Paediatricians and GPs with 2 cases.

    Case 1 is a 17 months old female toddler who presented with a 2 day history of massive bilateral lympadenopathy (4cm), febrile 39°C, urticarial rash and bilateral non-purulent con...

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    Conflict of Interest:
    None declared.
  • Published on:
    Kawasaki Disease. Unknown outcome of long term follow-up.
    • Robert Tulloh, Consulant Paediatric Cardiologist
    • Other Contributors:
      • Brogan PA, Bose A, Burgner D, Shingadia D, Michie C, Klein N, Booy R, Levin M, Dillon MJ.

    Dear Editor

    We would like to reply to the letter by Murugan [1] following our article on Kawasaki disease.[2] We have suggested that children with known Kawasaki disease and normal coronary arteries should have lifelong follow-up. The long term vascular damage from Kawasaki Disease is uncertain, but evidence from Dhillon et al suggests that abnormalities of systemic endothelial function are present many years after...

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    Conflict of Interest:
    None declared.
  • Published on:
    Follow up of Kawasaki Disease

    Dear Editor

    Brogan and colleagues advocate yearly follow up forever after Kawasaki Disease in an article claiming an evidence base.[1] They give one of the reasons being to measure blood pressure. Neither the need to follow up nor the occurrence of long term hypertension after KD are specifically referenced. Surely the points made by Murugan and others in response to this recommendation are completely right and it i...

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    Conflict of Interest:
    None declared.
  • Published on:
    Is Life long Follow up for patients with Kawasaki disease indicated?
    • Subramanian Jothi Murugan, Specialist Registrar in Paediatric Cardiology
    • Other Contributors:
      • John Thomson, Specialist Registrar in Paediatric Cardiology and Jonathan M Parsons, Consultant Paediatric Cardiologist

    Dear Editor

    Brogan et al recommended life long follow up for patients with Kawasaki disease including those who did not have coronary artery involvement. The reason they quoted was to document the blood pressure and provide general advice regarding other risk factors.[1] American Heart Association recommends echocardiographic evaluation of the coronary arteries at presentation and follow up echocardiogram...

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    Conflict of Interest:
    None declared.