Volume 113, Nº 6, December 2019
DOI: http://www.dx.doi.org/10.5935/abc.20190191
ORIGINAL ARTICLE
Coronary Artery Dilation in Children with Febrile Exanthematous Illness without Criteria for Kawasaki Disease
Jesus Reyna
Luz Marina Reyes
Lorenzo Reyes
Freya Helena Campos
Patricia Meza
Alfredo Lagunas
Carla Contreras
Ana Elena Limón
Abstract
Background: Coronary dilatation is the most important complication of Kawasaki disease (KD) and, in addition to some clinical characteristics, is common to KD and febrile exanthematous illnesses (FEIs). Objective: To assess whether children with FEI, who do not meet the criteria for KD, have changes in coronary arteries dimensions.
Methods: Echocardiography was performed within the first two weeks of the disease in patients < 10 years with fever and exanthema without other KD criteria. To make a comparison with KD patients, we reviewed the echocardiograms and medical records of patients with a diagnosis of KD of the last five years. Coronary ectasia was assessed using Z scores of coronary arteries. The means of the dimensions of the coronary arteries were compared with a z test and a level of significance of 0.05 was adopted.
Results: A total of 34 patients were included, 22 (64.7%) with FEI, and 12(35.2%) with a diagnosis of KD. Using the Z scores of coronary artery, a dilation of any of the coronary artery branches was observed in six (27.2%) patients with FEI.
Conclusions: An important percentage of patients with FEI has coronary artery dilation. (Arq Bras Cardiol. 2019;113(6):1114-1118)
Keywords: Child; Coronary Disease; Evanthema; Fever; Kawasali Disease; Mucocutaneous Lymph Node Syndrome; Echocardiography/methods.
