Id |
Subject |
Object |
Predicate |
Lexical cue |
T114 |
0-99 |
Sentence |
denotes |
Kawasaki disease (KD) is a systemic vasculitis that usually affects children less than 5 years old. |
T115 |
100-296 |
Sentence |
denotes |
Soon after the first description by Tomisaku Kawasaki in 1967, it was clear that the disease, although self-limiting, might cause coronary artery aneurism (CAA) in a high percentage of cases [61]. |
T116 |
297-410 |
Sentence |
denotes |
KD is nowadays considered as the first cause of acquired heart disease in children from developed countries [62]. |
T117 |
411-526 |
Sentence |
denotes |
The disease is far more common in eastern countries, and in children of eastern origin living in western countries. |
T118 |
527-663 |
Sentence |
denotes |
For example, the 2010 annual incidence for KD was 222.9 cases/100000 children <5 y/o in Japan, compared to 20/100000 in the USA [63,64]. |
T119 |
664-808 |
Sentence |
denotes |
Since no specific test is available, diagnosis relies on the recognition of the cardinal clinical features and the exclusion of other mimickers. |
T120 |
809-1014 |
Sentence |
denotes |
The mainstay of treatment is the administration of intravenous immunoglobulins (IVIG) at 2 g/kg of body weight, as soon as the diagnosis is established, and possibly within 10 days from the onset of fever. |
T121 |
1015-1074 |
Sentence |
denotes |
IVIG have been demonstrated to reduce the risk of CAA [65]. |
T122 |
1075-1262 |
Sentence |
denotes |
A subgroup of patients, accounting for nearly 5% of those with KD, has been described to have a very severe disease onset with systolic hypotension or shock (Kawasaki Shock Syndrome-KSS). |
T123 |
1263-1369 |
Sentence |
denotes |
The shock may be caused by a capillary leak syndrome or by poor perfusion due to inflammatory myocarditis. |
T124 |
1370-1673 |
Sentence |
denotes |
KSS patients are more likely to be females and to have earlier onset, incomplete presentations, and more severe laboratory abnormalities (lower platelet counts, higher serum CRP levels, hyponatremia, increased transaminases, metabolic acidosis, consumptive coagulopathy, and lower serum albumin levels). |
T125 |
1674-1852 |
Sentence |
denotes |
Patients with KSS are often resistant to IVIG treatment and have a higher incidence of coronary artery aneurysms, mitral regurgitation, and prolonged myocardial dysfunction [66]. |