PEDIATRICS Vol. 80 No. 1 July 1987, pp. 58-62
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Nationwide Survey on Kawasaki Disease in Japan

Hiroshi Yanagawa MD1, Tomisaku Kawasaki MD1, and Itsuzo Shigematsu MD1

1 From the Japan Kawasaki Disease Research Committee, Tochigi-ken, Japan

Results of the statistical analysis of a nationwide survey of patients with Kawasaki disease diagnosed within a 2-year 6-month period, from July 1982 to December 1984, are as follows. (1) The cumulative number of patients reported by the end of 1984 was 63,399 (36,891 boys and 26,508 girls; male to female ratio 1.4). (2) There were two epidemic years, 1979 and 1982, in which the numbers of patients were more than twofold that of the previous years. (3) A curve plotted for age-specific incidence rate showed a unimodal peak at age 1 year. (4) Steroid therapy was used for 6.3% of the patients, aspirin for 89.8%, antibiotics for 57.6%, and ggr-globulin for 11.4%. (5) The proportion of sibling cases was 1.4% and that of recurrent cases was 3.9% of all cases reported. (6) The incidence of cardiac sequelae in 1 month after disease onset was 17.2%.

Key Words: Kawasaki disease • mucocutaneous lymph node syndrome

Submitted on June 18, 1986
Accepted on August 13, 1986




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