J Korean Rheum Assoc.  2010 Dec;17(4):386-392. 10.4078/jkra.2010.17.4.386.

The Effect of Early Immunoglobulin Treatment on the Course of Kawasaki Disease

• Ra CI
• Kim KH
• Ahn JG
• Kim DS

• KMID: 2201896
• DOI: http://doi.org/10.4078/jkra.2010.17.4.386

Abstract

OBJECTIVE
Controversies exist as to whether early treatment for Kawasaki disease might increase the need for additional intravenous immunoglobulin (IVIG) treatment and whether it could reduce cardiac complications. We conducted this study to add useful clues, which could be helpful when setting up a treatment plan.
METHODS
359 patients who were newly diagnosed with Kawasaki disease at Severance Hospital were divided into two groups; patients who received IVIG treatment within 3 days (group A) and those who received IVIG treatment after 3 days (groups B and C). We compared the laboratory data, fever duration, frequency of additional IVIG treatment, and echocardiography follow-up results.
RESULTS
IVIG was administered 1.11+/-0.34 (mean+/-SD), 1.15+/-0.39, and 1.17+/-0.42 times in groups A, B, and C, respectively; p=0.29 (A vs. B), p=0.21 (A vs. C). The incidence of cardiac complications checked within the first 2 weeks from disease onset was 3.6%, 5.2%, and 5.1% in groups A, B, and C, respectively; p=0.52 (A vs. B), p=0.55 (A vs. C), and the values checked at 2 months were 3.6%, 5.6%, and 5.7% in groups A, B, and C, respectively; p=0.43 (A vs. B), p=0.43 (A vs. C).
CONCLUSION
Early IVIG treatment in patients with Kawasaki disease decreased fever duration and may prevent cardiac complications by limiting inflammation.

Keyword

Kawasaki disease; Intravenous immunoglobulin

MeSH Terms

Echocardiography
Fever
Follow-Up Studies
Humans
Immunoglobulins
Immunoglobulins, Intravenous
Incidence
Inflammation
Mucocutaneous Lymph Node Syndrome
Immunoglobulins
Immunoglobulins, Intravenous

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