Incidence and Outcome of Kawasaki Disease in Malta
Kawasaki disease (KD) is an acute febrile illness of childhood of unknown origin which causes an arteritis of small and medium sized arteries. The arteritis may involve any organ, including the coronary arteries, causing diffuse dilatation, aneurysm formation, stenosis, infarction and death. This paper determines the incidence of KD in Malta and compares the incidence and morbidity of KD in Malta with that in other countries. The Maltese incidence is 3.2/100,000 population <5 years of age, similar to that reported in non-Asiatic communities, and significantly less than that reported in Asiatic communities. None of the Maltese patients had coronary arteritis or other complications. A significant decline in delay to diagnosis was found, which is attributed to increased awareness of the disease in the medical community.
KeywordsAspirin Endocarditis Kato Conjunctivitis Goldwater
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- 1.Central Office of Statistics. Demographic review for the Maltese Islands. Malta: Central Office of Statistics (annual publication)Google Scholar
- 2.Fleiss JL. Statistical methods for rates and proportions. New York: John Wiley and Sons, 14–15 (2nd edition). (1981)Google Scholar
- 3.Diagnostic guidelines for Kawasaki disease. American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease. Am J Dis Child, 144: 1218–9. (1990)Google Scholar
- 12.Gerada-Azzopardi E, Zuber C. Malta: An Island Republic. Boulogne: Delroisse, 1980.Google Scholar