RESUMO

This is a prospective study of a cohort of 70 children with Kawasaki disease (KD) admitted from April 2002 to April 2007 to a tertiary hospital in Brasilia, Brazil. Of the 70 children, only 32 (45.7%) were referred during the acute phase of the disease and only 15 (21.4%) were referred with the correct diagnosis. Coronary aneurysms were detected in 13 (18.5%). A high suspicion index is essential in order to detect new cases as KD is probably underdiagnosed in Brazil and other developing countries, and an early diagnosis will dramatically decrease its life-threatening complications.

Assuntos

Síndrome de Linfonodos Mucocutâneos/epidemiologia , Distribuição por Idade , Brasil/epidemiologia , Criança , Pré-Escolar , Aneurisma Coronário/diagnóstico , Aneurisma Coronário/epidemiologia , Aneurisma Coronário/etiologia , Diagnóstico Diferencial , Ecocardiografia Doppler , Feminino , Humanos , Imunoglobulinas Intravenosas/uso terapêutico , Fatores Imunológicos/uso terapêutico , Incidência , Masculino , Síndrome de Linfonodos Mucocutâneos/complicações , Síndrome de Linfonodos Mucocutâneos/diagnóstico por imagem , Síndrome de Linfonodos Mucocutâneos/terapia , Estudos Prospectivos , Resultado do Tratamento