PEDIATRICS Vol. 84 No. 2 August 1989, pp. 235-241
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ichida, F.
Right arrow Articles by Engle, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ichida, F.
Right arrow Articles by Engle, M. A.

Epidemiologic Aspects of Kawasaki Disease in a Manhattan Hospital

Fukiko Ichida MD1, Nunzia S. Fatica MD1, John E. O'Loughlin MD1, Arthur A. Klein MD1, Michael S. Snyder MD1, Aaron R. Levin MD1, Kathryn H. Ehlers MD1, Martin L. Lesser PhD1, and Mary Allen Engle MD1

1 The Division of Pediatric Cardiology and the Department of Public Health, The New York Hospital-Cornell Medical Center, New York, New York, and The Division of Biostatistics, Department of Research, North Shore University Hospital, Manhasset, New York

Epidemiologic and clinical features of Kawasaki disease in 106 patients seen between 1980 and 1986 at The New York Hospital in midtown Manhattan were compared with those in large series from the United States, Canada, and Japan. Dissimilarities in our Kawasaki disease experience included ethnic heterogeneity of our patients (50% white, 18% black, 16% Hispanic, and 16% Oriental) and, in comparison with the Japanese experience, an older mean age (3frac12 vs 1frac12 years) with fewer children less than 2 years of age (32% vs 50% to 60%). In comparison with the general population of the geographic urban and suburban referral area for our hospital and in comparison with our general pediatric population, Oriental children with Kawasaki disease were overrepresented (16% vs 2%). More families of children with Kawasaki disease were members of the upper and middle class (73%) than were the population seen in general pediatrics (31.7%) at our hospital. Personal interviews with 63 families of children with Kawasaki disease and 63 control families with children paired for ethnic group, sex, and age revealed no epidemiologic differences except for use of rug shampoo within 1 month of onset in 16 episodes in 15 children with Kawasaki disease in 14 families (22% of families) compared with two families of control children (3%) (P < .001).

Key Words: Kawasaki disease • seasonal disease incidence • socioeconomic status

Submitted on October 13, 1986
Accepted on July 25, 1988




This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
F. Cox, W. Foshee, J. Miller JR, and S. Moore
Simultaneous Kawasaki Disease and Group A Streptococcal Pharyngitis
Clinical Pediatrics, January 1, 1993; 32(1): 48 - 50.
[PDF]