Conduct disorder

Novini vo pedijatrijata / Godi[na revija 2009
ALBANIAN EXPERIENCE IN KAWASAKI DISEASE.
Gjeorgjina Kuli-Lito*, Rajmonda Niko*, Evda Vevecka*,
Melpomeni Bizhga*, Silvin Lito**
* Department of Paediatrics,
University Hospital Centre “Mother Teresa”, Tirana, Albania
** Student, Medical Faculty, Sofia, Bulgaria
Abstract
Kawasaki syndrome is not often encountered in our country. Since January 1995 to
December 2007, only 12 children met the diagnostic criteria of the disease.
Aim: We conducted a retrospective study to ascertain the epidemiological data,
clinical presentations, risk factors, and clinical outcomes of children who had
Kawasaki Disease (KD) during the study period.
Material and methods: The diagnosis of KD was established based on CDC
criteria. The children were followed up to 1 year after the recovery.
Results: Nine boys and three girls aged 9 months to 5 years had suffered by KD during
this period. The disease was more frequent at spring time. All cases represented
persisting fever more than 10 days, changes in extremities (eritema, oedema,
periungual peeling of fingers), polymorphous exanthema, enlarged cervical lymph
nodes, changes in lips and oral cavity. Bilateral conjunctivitis was found at 7
patients, while arthritis and diarrhoea respectively at 5 and 4 of them.
Laboratory findings showed trombocytosis, leokocytosis with left shift, elevated
ERS. More than half of patients had abnormal values of liver enzymes. Involvement
of CNS with moderate pleocytosis was found in one patient. The diagnosis of KD was
established during mainly at the second –third week after the onset of the
symptoms. All children were treated with acetylsalicylic acid in seven cases combined
with intravenous immunoglobulin therapy. No one of the children receiving
combined therapy, developed cardiac complications. Mean time of hospitalization:
30.5 days.Four children developed cardiac complications.
Conclusions: Low incidence of KD in our country is similar with references from the
other European countries. Immune therapy was successful and efficient for an
outcome without complications.
Key Words: Kawasaki disease, intravenous immunoglobulin, polymorphous
exanthema, persistent fever.
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