18:15 〜 19:15
[II-JCKP2-04] Clinical features of Kawasaki Disease children with urinary tract involvement
Objective:Retrospective797 KD children, try to explore the clinical characteristics of KD children with urinary tract involvement.
105 Patients with urinary tract involvement as the study group, 98 urinary tract non-involvement as control, analyzed the clinical features，inflammatory and sensitivity to IVIG, as well as in children with different degree of urine test, within these groups .
Results: 1) 13.2% (105/797) KD children were urinary tract involvement，gender ratio was 2:1. Abnormal urine test shows that 70.5% (74/105) of urinary tract involvement KD children had the white blood cells (several ~ full vision/HP). 67 cases underwent ultrasound and showed 3 cases with bilateral renal enlargement and 5 cases with echogenicity. 2) The CRP level is significantly higher in study group than the control group, but ESR has only showed a rising trend without significant difference. 16.2% patients was not sensitive to IVIG in Urinary tract involvement group, there was no significant difference between the two groups, although 7.2% higher than that of control group. 3) 20.6% patients in hematuria and/ orproteinuria group is not sensitive to IVIG, but there was no significant difference within groups.
Conclusion: KD patients with urinary tract involvement were more common in infants and young children, white blood cells was often seen in the urine. The inflammatory indexes increased in the patients with urinary tract involvement. The percent of non-sensitive to IVIG had the higher trend in the urinary tract involvement group, especially the patients with hematuria and proteinuria.
105 Patients with urinary tract involvement as the study group, 98 urinary tract non-involvement as control, analyzed the clinical features，inflammatory and sensitivity to IVIG, as well as in children with different degree of urine test, within these groups .
Results: 1) 13.2% (105/797) KD children were urinary tract involvement，gender ratio was 2:1. Abnormal urine test shows that 70.5% (74/105) of urinary tract involvement KD children had the white blood cells (several ~ full vision/HP). 67 cases underwent ultrasound and showed 3 cases with bilateral renal enlargement and 5 cases with echogenicity. 2) The CRP level is significantly higher in study group than the control group, but ESR has only showed a rising trend without significant difference. 16.2% patients was not sensitive to IVIG in Urinary tract involvement group, there was no significant difference between the two groups, although 7.2% higher than that of control group. 3) 20.6% patients in hematuria and/ orproteinuria group is not sensitive to IVIG, but there was no significant difference within groups.
Conclusion: KD patients with urinary tract involvement were more common in infants and young children, white blood cells was often seen in the urine. The inflammatory indexes increased in the patients with urinary tract involvement. The percent of non-sensitive to IVIG had the higher trend in the urinary tract involvement group, especially the patients with hematuria and proteinuria.