Skip to main content
Journal cover image

Associated symptoms in the ten days before diagnosis of Kawasaki disease.

Publication ,  Journal Article
Baker, AL; Lu, M; Minich, LL; Atz, AM; Klein, GL; Korsin, R; Lambert, L; Li, JS; Mason, W; Radojewski, E; Vetter, VL; Newburger, JW ...
Published in: J Pediatr
April 2009

OBJECTIVE: To describe common associated symptoms within the 10 days before diagnosis in subjects enrolled in the Pediatric Heart Network's trial of steroid therapy in Kawasaki disease (KD). STUDY DESIGN: Patients with acute KD were enrolled between days 4 and 10 of illness at 8 centers between 2002 and 2004. We defined common associated symptoms as those occurring in >or=10% of patients. Principal clinical criteria for KD were not included in this analysis. RESULTS: Among 198 patients, irritability was reported in 98 (50%), vomiting in 88 (44%), decreased food/fluid intake in 73 (37%), cough in 55 (28%), diarrhea in 52 (26%), rhinorrhea in 37 (19%), weakness in 37 (19%), abdominal pain in 35 (18%), and joint pain (arthralgia or arthritis) in 29 (15%). One or more gastrointestinal symptom (vomiting, diarrhea, or abdominal pain) was present in 120 patients (61%) and 69 patients (35%) had >or= 1 respiratory symptom (rhinorrhea or cough). CONCLUSIONS: Nonspecific symptoms occur commonly in children with KD. To reduce delays in diagnosis, clinicians should be educated that such symptoms may comprise a significant component in the chief complaint.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

April 2009

Volume

154

Issue

4

Start / End Page

592 / 595.e2

Location

United States

Related Subject Headings

  • Vomiting
  • Rhinitis
  • Prospective Studies
  • Prevalence
  • Pediatrics
  • North America
  • Muscle Weakness
  • Mucocutaneous Lymph Node Syndrome
  • Irritable Mood
  • Infant
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Baker, A. L., Lu, M., Minich, L. L., Atz, A. M., Klein, G. L., Korsin, R., … Pediatric Heart Network Investigators, . (2009). Associated symptoms in the ten days before diagnosis of Kawasaki disease. J Pediatr, 154(4), 592-595.e2. https://doi.org/10.1016/j.jpeds.2008.10.006
Baker, Annette L., Minmin Lu, L LuAnn Minich, Andrew M. Atz, Gloria L. Klein, Rosalind Korsin, Linda Lambert, et al. “Associated symptoms in the ten days before diagnosis of Kawasaki disease.J Pediatr 154, no. 4 (April 2009): 592-595.e2. https://doi.org/10.1016/j.jpeds.2008.10.006.
Baker AL, Lu M, Minich LL, Atz AM, Klein GL, Korsin R, et al. Associated symptoms in the ten days before diagnosis of Kawasaki disease. J Pediatr. 2009 Apr;154(4):592-595.e2.
Baker, Annette L., et al. “Associated symptoms in the ten days before diagnosis of Kawasaki disease.J Pediatr, vol. 154, no. 4, Apr. 2009, pp. 592-595.e2. Pubmed, doi:10.1016/j.jpeds.2008.10.006.
Baker AL, Lu M, Minich LL, Atz AM, Klein GL, Korsin R, Lambert L, Li JS, Mason W, Radojewski E, Vetter VL, Newburger JW, Pediatric Heart Network Investigators. Associated symptoms in the ten days before diagnosis of Kawasaki disease. J Pediatr. 2009 Apr;154(4):592-595.e2.
Journal cover image

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

April 2009

Volume

154

Issue

4

Start / End Page

592 / 595.e2

Location

United States

Related Subject Headings

  • Vomiting
  • Rhinitis
  • Prospective Studies
  • Prevalence
  • Pediatrics
  • North America
  • Muscle Weakness
  • Mucocutaneous Lymph Node Syndrome
  • Irritable Mood
  • Infant