Kawasaki disease presenting with hoarseness: A multinational study of the REKAMLATINA network

Luisa B. Gámez-González, Rolando Ulloa-Gutierrez, Chiharu Murata, Marco A. Yamazaki-Nakashimada, Elissa Kim, Dora Estripeaut, Olguita del Águila, Luis M. Garrido-García, Virgen Gómez, Enrique Faugier-Fuentes, Greta Miño, Sandra Beltrán, Fernanda Cofré, Enrique Chacón-Cruz, Patricia Saltigeral-Simental, Lucila Martínez-Medina, Adriana H. Tremoulet, Norma Astigarraga, Arturo Borzutzky, Saulo Duarte PassosStella Gutierrez, Sergio Bernal-Granillo, Lourdes Dueñas, Martha I. Álvarez-Olmos, Pahola Pérez-Camacho, Adrián Collia, Antonio Arbo, Jorge A. Vázquez-Narváez, Eduardo López-Medina, Mussaret B. Zaidi, Tamara Viviani, Marco T. Luque, Francisco J. Rodríguez-Quiroz, Carlos F. Grazioso, Heloisa Helena de Sousa Marques, Kathia Luciani, Mildred Zambrano, Mario Melgar, Lorena Franco, Nora Bueno, María C. Pírez, Raymundo Rodríguez-Herrera, Giannina Izquierdo, Andrea P. Salgado, Enrique López-Valentín, Norma D. López-Lara, Tibisay Triana, Rafael Hernández-Magaña, Jesús Alvelo, Carlos Daza, María del Carmen Luis-Álvarez, Nadina Rubio-Pérez, Rogelio Martínez-Ramírez, María L. Avila-Agüero ML, Kattia Camacho-Badilla, Alejandra Soriano-Fallas, Kathia Valverde, Elizabeth Castaño, Raúl Esquivel, Ximena Norero, Jacqueline Levy, Scarlet Sinisterra, Sarbelio Moreno-Espinosa, Ángel Flores, Ana V. Villareal, Diana López-Gallegos, Horacio Márquez-González, Guillermo Barahona, Mauricio Velado, Mario Gamero, Belen Amorín, Angélica Calvache-Burbano, Yasmín Sánchez, Dolores Freire, Nelly Chávez, Antonio Fernández, Marianella Layana, Dennisse Olaya, Adriana Díaz-Maldonado, Kelly Marquez-Herrera, Roy Sanguino-Lobo, Jaime Patiño, Daniela Cleves, María F. García-Venegas, Diana Medina, Pilar Guarnizo, Manuel Huertas-Quiñones, Paula A. Araque, Julieta González-Palacios, Alejandra Sandoval-Carmona, Guadalupe Urrea, Alejandro Ellis, María Camila Reyes, Josué Rodríguez-Ríos, Alfonso Hernández-Ojeda, Pamela Morales-Matamala, Dolores Lovera Sara Amarilla, Fernando Galeano, Ana Rosalía Báez, Gabriela Leal, María Fernanda Badue Pereira, Neusa Keico Sakita, Pablo J. Grazioso, Gonzalo Calvimontes, Cecilia Piñera, Pilar Picart, Isabel C. Hurtado-Palacios, Antonio Madrid, Pio López, Joyce Andrade, Juan Chang-Asinc, Elizabeth Assandri, Alejandra Vomero, Mónica Pujadas, Karina Machado, Federica Badía, Norma J. Cortés-Cruz, Ignacio Camacho-Meza, Eunice Sandoval-Ramírez, Rubén Alba-Medina, Fernando García-Rodríguez, María Caggiani, Estefanía Fynn, Alejandro Díaz-Díaz, Juan G. Mesa-Monsalve, Lorena Rodríguez-Muñoz, Karina Flores-Hernández, Carmen Requena, Yokaira Ferreira, Víctor H. Velazco, Jaime Deseda-Tous, María Mercedes Somarriba, Rocío A. Peña-Juárez, Jesús de Lara-Huerta, Alessandra Geisler Lopes, Pablo García-Munitis, Iván F. Gutiérrez-Tobar, Ana M. González-Ortiz, Patricio Andrade, Margarita Martínez-Cruzado, Rubén Díaz-Rodríguez, Mariangeles Pérez, Gabriel Vega-Cornejo, Aline da Graça Fevereiro, Carlota Mott

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3 Citas (Scopus)

Resumen

Recently, hoarseness affecting the supraglottic structure has been reported in Kawasaki disease (KD). The objective of this study was to characterize the frequency of hoarseness in acute KD patients in Latin America. Methods: We used prospective data from the multinational Red de Enfermedad de Kawasaki en America Latina (REKAMLATINA) network. A total of 865 patients from 20 countries were enrolled during the 3 year study period. Data on hoarseness were available in 858 (99.2%) patients. The clinical and laboratory characteristics between hoarse and non-hoarse KD were compared. Results: Hoarseness was documented in 100 (11.6%) patients. Hoarse patients were younger than those with KD without hoarseness (median age 18 vs 26 months; P = 0.002) and presented with lower hemoglobin (10.7 g/dL vs 11.3 g/dL; P = 0.040) and hematocrit levels (32% vs 33%, P = 0.048). Conclusions: Hoarseness was found to be prevalent as a presenting sign of acute KD in younger children. Anemia may indicate the presence of active inflammation.
Idioma originalEspañol (Perú)
Páginas (desde-hasta)643-648
Número de páginas6
PublicaciónPediatrics International
Volumen63
N.º6
DOI
EstadoPublicada - 1 jun. 2021
Publicado de forma externa

Palabras Clave

  • Kawasaki disease
  • Latin American
  • child
  • hoarseness

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