{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:06:51Z","timestamp":1788887211026,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This is a retrospective study to report our experience with a cohort of 73 patients with Kawasaki disease (KD) over 2.5\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The study was conducted in the Department of Pediatrics. Data were retrieved from medical records of Pediatric Rheumatology and Immunodeficiency Clinic collected from April 2017 to October 2019 and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Male\u2010to\u2010female ratio in our cohort was 2:1. The median age at diagnosis of KD was 3\u00a0years (IQR, 4.25). Fever was present in all patients. Oral mucosal changes are the second most common symptom (N\u00a0=\u00a064, 87%) followed by extremity changes (N\u00a0=\u00a058, 79%), and rash (N\u00a0=\u00a056, 76%). Nineteen (26%) children had cardiovascular complications like coronary artery abnormalities (N\u00a0=\u00a015, 20%), cardiac tamponade (N\u00a0=\u00a02, 2%), and shock (N\u00a0=\u00a01, 1%). The effusion in the patients with cardiac tamponade contained inflammatory cells and plenty of red blood cells. Sixty\u2010eight (93%) patients with KD had received treatment with IVIg. Patients in our cohort had completed a mean follow\u2010up of 13.6\u00a0\u00b1\u00a09.4\u00a0months. No fatality or any long term adverse effects were observed on follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Kawasaki disease is a common rheumatological disorder in children at our center with diverse clinical presentations. The disease needs to be considered as a differential diagnosis in an acute febrile illness in children persisting up to 5\u00a0days.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.14059","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:44:34Z","timestamp":1612313074000},"page":"391-396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical profile, treatment and outcome of Kawasaki disease: A single\u2010center experience from a tertiary care referral center of Assam, north\u2010east India"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3118-4458","authenticated-orcid":false,"given":"Dhrubajyoti","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Pediatrics Gauhati Medical College Guwahati North\u2010East 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