Kawasaki Disease-Associated Cytokine Storm Syndrome.
Adv Exp Med Biol
; 1448: 365-383, 2024.
Article
em En
| MEDLINE
| ID: mdl-39117827
ABSTRACT
Kawasaki disease (KD) is a hyperinflammatory syndrome manifesting as an acute systemic vasculitis characterized by fever, nonsuppurative conjunctival injection, rash, oral mucositis, extremity changes, and cervical lymphadenopathy. KD predominantly affects young children and shares clinical features and immunobiology with other hyperinflammation syndromes including systemic juvenile idiopathic arthritis (sJIA) and multisystem inflammatory syndrome in children (MIS-C). Cytokine storm syndrome (CSS) is an acute complication in ~2% of KD patients; however, the incidence is likely underestimated as many clinical and laboratory features of both diseases overlap. CSS should be entertained when a child with KD is unresponsive to IVIG therapy with recalcitrant fever. Early recognition and prompt institution of immunomodulatory treatment can substantially reduce the mortality and morbidity of CSS in KD. Given the known pathogenetic role of IL-1ß in both syndromes, the early use of IL-1 blockers in refractory KD with CSS deserves consideration.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Síndrome da Liberação de Citocina
/
Síndrome de Linfonodos Mucocutâneos
Limite:
Child
/
Humans
Idioma:
En
Revista:
Adv Exp Med Biol
/
Adv. exp. med. biol
/
Advances in experimental medicine and biology
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá