One of the most common clinical challenges for general paediatricians and subspecialities is to identify children with atypical or incomplete features of KS. General paediatricians are usually the first to evaluate children with persistent fever. Increasingly, they make the diagnosis of KD even in the absence of classic features because of concerns about coronary heart disease as shown by a recent report from San Diego county [30]. In that study, half of general paediatricians surveyed had diagnosed KD in febrile patients who did not fulfil four of the five principal clinical criteria. Developing more comprehensive criteria that include some of the less common and less classical features could enhance diagnostic sensitivity without losing the specificity of current epidemiological criteria. This should help clinicians, general paediatricians especially, with earlier diagnosis and intervention. Such a study is currently in progress in our institutions.

Diagnosing Kawasaki syndrome: the need for a new clinical tool / Simonini G; Rose CD; Vierucci A; Falcini F; Athreya BH.. - In: RHEUMATOLOGY. - ISSN 1462-0324. - STAMPA. - 44(2005), pp. 959-961.

Diagnosing Kawasaki syndrome: the need for a new clinical tool.

SIMONINI, GABRIELE;VIERUCCI, ALBERTO;FALCINI, FERNANDA;
2005

Abstract

One of the most common clinical challenges for general paediatricians and subspecialities is to identify children with atypical or incomplete features of KS. General paediatricians are usually the first to evaluate children with persistent fever. Increasingly, they make the diagnosis of KD even in the absence of classic features because of concerns about coronary heart disease as shown by a recent report from San Diego county [30]. In that study, half of general paediatricians surveyed had diagnosed KD in febrile patients who did not fulfil four of the five principal clinical criteria. Developing more comprehensive criteria that include some of the less common and less classical features could enhance diagnostic sensitivity without losing the specificity of current epidemiological criteria. This should help clinicians, general paediatricians especially, with earlier diagnosis and intervention. Such a study is currently in progress in our institutions.
44
959
961
Simonini G; Rose CD; Vierucci A; Falcini F; Athreya BH.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2158/386853
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