Abstract | OBJECTIVES: STUDY DESIGN: We identified patients treated for KD at Nationwide Children's Hospital and from the Pediatric Health Information System from 2009-2013. We then identified the subset of children, pKD/SoJIA, who received an International Classification of Diseases, Ninth Revision code for SoJIA and had it listed at least once 3 months after and within 6 months after KD diagnosis. Demographic characteristics, readmission rates, treatments, and complications were noted. A literature review was also performed to identify clinical, laboratory, and echocardiographic data of previously documented patients with KD later diagnosed with SoJIA. RESULTS: There were 6745 total treated patients with KD in the Pediatric Health Information System database during the study period; 10 patients were identified to have pKD/SoJIA (0.2% of cohort). Those with pKD/SoJIA were predominantly Caucasian compared with patients with KD (90% and 46.8%, respectively; P=.003). Macrophage activation syndrome was more common in patients with pKD/SoJIA than in sole patients with KD (30% and 0.30%, respectively; P<.001). Fifteen cases of pKD/SoJIA were identified by literature and chart review, 12 of whom were initially diagnosed with incomplete KD. CONCLUSIONS:
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Authors | Siwen Dong, Sharon Bout-Tabaku, Karen Texter, Preeti Jaggi |
Journal | The Journal of pediatrics
(J Pediatr)
Vol. 166
Issue 5
Pg. 1283-8
(May 2015)
ISSN: 1097-6833 [Electronic] United States |
PMID | 25771391
(Publication Type: Journal Article)
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Copyright | Copyright © 2015 Elsevier Inc. All rights reserved. |
Topics |
- Arthritis, Juvenile
(complications, diagnosis, epidemiology)
- Child, Preschool
- Comorbidity
- Databases, Factual
- Female
- Fever
- Hospitals, Pediatric
- Humans
- Incidence
- Infant
- Macrophage Activation Syndrome
(complications, diagnosis, epidemiology)
- Male
- Mucocutaneous Lymph Node Syndrome
(complications, diagnosis, epidemiology)
- Patient Readmission
- Phenotype
- Retrospective Studies
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