Missed or delayed diagnosis of Kawasaki disease during the 2019 novel coronavirus disease (COVID-19) pandemic

Affiliations

¹ Division of Pediatric Cardiology, Department of Pediatrics, Children's National Hospital, The George Washington University School of Medicine, Washington, District of Columbia.
² Division of Pediatric Cardiology, Department of Pediatrics, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.
³ Department of Cardiology, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
⁴ Seattle Children's Hospital, University of Washington, Seattle, Washington.
⁵ Division of Pediatric Dermatology, Department of Pediatrics, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada; CEREMAIA, Université Paris Saclay, Le Kremlin Bicêtre, France.
⁶ University of Bristol, Bristol, United Kingdom.
⁷ The Hospital for Sick Children, Toronto, Ontario, Canada.
⁸ University of Milano, Milano, Italy.
⁹ University of Utah, Primary Children's Hospital, Salt Lake City, Utah.
¹⁰ Department of Pediatrics, Rady Children's Hospital, University of California San Diego, San Diego, California.

Ashraf S Harahsheh et al. J Pediatr. 2020 Jul.

. 2020 Jul:222:261-262.

doi: 10.1016/j.jpeds.2020.04.052. Epub 2020 May 3.

¹ Division of Pediatric Cardiology, Department of Pediatrics, Children's National Hospital, The George Washington University School of Medicine, Washington, District of Columbia.
² Division of Pediatric Cardiology, Department of Pediatrics, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada.
³ Department of Cardiology, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
⁴ Seattle Children's Hospital, University of Washington, Seattle, Washington.
⁵ Division of Pediatric Dermatology, Department of Pediatrics, CHU Sainte Justine, University of Montreal, Montreal, Quebec, Canada; CEREMAIA, Université Paris Saclay, Le Kremlin Bicêtre, France.
⁶ University of Bristol, Bristol, United Kingdom.
⁷ The Hospital for Sick Children, Toronto, Ontario, Canada.
⁸ University of Milano, Milano, Italy.
⁹ University of Utah, Primary Children's Hospital, Salt Lake City, Utah.
¹⁰ Department of Pediatrics, Rady Children's Hospital, University of California San Diego, San Diego, California.

No abstract available

Keywords: COVID-19; Kawasaki disease; bayesian thinking; pediatric cardiology.

Comment in

Coronavirus disease 2019, Kawasaki disease, and multisystem inflammatory syndrome in children.
Bassareo PP, Calcaterra G, Fanos V. Bassareo PP, et al. J Pediatr. 2020 Sep;224:184. doi: 10.1016/j.jpeds.2020.06.033. Epub 2020 Jun 12. J Pediatr. 2020. PMID: 32540255 Free PMC article. No abstract available.
Reply.
Harahsheh AS, Dahdah N, Newburger JW, Portman MA, Tulloh R, McCrindle BW, Cimaz R, Burns JC. Harahsheh AS, et al. J Pediatr. 2020 Sep;224:184-185.e1. doi: 10.1016/j.jpeds.2020.06.072. Epub 2020 Jun 30. J Pediatr. 2020. PMID: 32619499 Free PMC article. No abstract available.

1. Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 Apr 30;382:1708–1720. - PMC - PubMed
1. Jones V., Mills M., Suarez D., Hogan C., Yeh D., Segal J. COVID-19 and Kawasaki disease: novel virus and novel case. Hosp Pediatr. 2020;10(6):537–540. - PubMed
1. McCrindle B.W., Rowley A.H., Newburger J.W., Burns J.C., Bolger A.F., Gewitz M. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation. 2017;135:e927–e999. - PubMed
1. Wang S., Best B.M., Burns J.C. Periungual desquamation in patients with Kawasaki disease. Pediatr Infect Dis J. 2009;28:538–539. - PMC - PubMed
1. Lindsley C.B. Nail-bed lines in Kawasaki disease. Am J Dis Child. 1992;146:659–660. - PubMed