Kawasaki Disease as the Immune-Mediated Echo of a Viral Infection
- PMID: 32670517
- PMCID: PMC7340244
- DOI: 10.4084/MJHID.2020.039
Kawasaki Disease as the Immune-Mediated Echo of a Viral Infection
Abstract
Although the etiology of Kawasaki disease (KD) remains elusive, the available evidence indicates that the primum movens may be a dysregulated immune response to various microbial agents, leading to cytokine cascade and endothelial cell activation in patients with KD. Documented infections by different viruses in many individual cases have been largely reported and are discussed herein, but attempts to demonstrate their causative role in the distinctive KD scenario and KD epidemiological features have been disappointing. To date, no definite link has been irrefutably found between a single infection and KD.
Keywords: COVID-19; Child; Kawasaki disease; Personalized medicine; Viral infection.
Conflict of interest statement
Competing interests: The authors declare no conflict of Interest.
References
-
- Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugi. 1967;16:178–222. - PubMed
-
- Kawasaki T, Kosaki F, Okawa S, et al. A new infantile acute febrile mucocutaneous lymph node syndrome (MLNS) prevailing in Japan. Pediatrics. 1974;54:271–6. - PubMed
-
- Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics. 2004;114:1708–33. doi: 10.1542/peds.2004-2182. - DOI - PubMed
