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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

2013 ACR/ARHP Annual Meeting: Diagnostic,Treatment Approaches Evolve for Kawasaki Disease

  |  Issue: February 2014  |  

Based on what is currently known from the Adult KD Collaborative study, Dr. Burns feels strongly that all patients with any coronary artery abnormality should be followed for life by a cardiologist with knowledge of KD vasculopathy. More controversial, she said, is whether patients with normal echocardiograms throughout their initial course of KD need follow up by a cardiologist.

Finding the right therapy to give children with early coronary artery abnormalities to prevent progression to aneurysm formation remains a key challenge in treating KD, she said.

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Mary Beth Nierengarten is a freelance medical journalist based in St. Paul, Minn.

References

  1. Newburger JW, Takahashi M, Gerber, MA, et al. Diagnosis, treatment, and long-term management of Kawasaki Disease. Circulation. 2004;110:2747-2771.
  2. Koren G, Silverman E, Sundel R, et al. Decreased protein binding of salicylates in Kawasaki disease. J Pediatr. 1991;118:456-459.
  3. Kahn AM, Budoff MJ, Daniels LB, et al. Calcium scoring in patients with a history of Kawasaki disease. JACC Imaging. 2012;5:264-272.

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