Document Detail

Endothelial dysfunction in adult patients with a history of Kawasaki disease.
MedLine Citation:
PMID:  17345094     Owner:  NLM     Status:  MEDLINE    
To assess the existence of endothelial dysfunction and the possibility of the early onset of atherosclerosis in the chronic stage of Kawasaki disease (KD), we examined endothelial function in adult patients late after the onset of KD. We evaluated two age-matched groups: 35 adult KD patients (KD group) (mean age, 27.0 years; mean interval time, 24.1 years), and 36 healthy adults (control group). To assess vascular endothelial function, flow-mediated dilatation (%FMD) of the brachial artery and urinary nitrites and nitrates (NOx) were examined. We also measured adhesion molecules and several coagulation-fibrinolysis markers. In addition, we measured high-sensitive C-reactive protein (hs-CRP) as a chronic inflammatory marker, and brachial-ankle pulse wave velocity (baPWV) as a marker for arterial stiffness. %FMD was significantly reduced in the KD group when compared with that of the control group (KD group, 10.4 +/- 2.6%; control group, 14.4 +/- 3.2%, p<0.05), particularly in patients with coronary artery lesions. Thrombin-antithrombin III complex values were higher in the KD group, although no significant differences were observed in the other markers for endothelial function. Hs-CRP was significantly elevated only in the patients with coronary aneurysms. Furthermore, in the male KD patients, the baPWV values were significantly higher than those in the control subjects. This study revealed that the adult patients with a history of KD had systemic vascular endothelial dysfunction, and also suggested that a history of KD was possibly one of the risk factors for early onset of atherosclerosis.
Ayumi Niboshi; Kenji Hamaoka; Koichi Sakata; Nozomi Yamaguchi
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Publication Detail:
Type:  Journal Article     Date:  2007-03-08
Journal Detail:
Title:  European journal of pediatrics     Volume:  167     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2007-12-24     Completed Date:  2008-05-22     Revised Date:  2008-06-05    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  189-96     Citation Subset:  IM    
Department of Pediatric Cardiology and Nephrology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan.
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MeSH Terms
Analysis of Variance
Antithrombin III
Biological Markers / blood
Blood Flow Velocity
Brachial Artery / physiology
C-Reactive Protein / analysis
Case-Control Studies
Cell Adhesion Molecules / blood
Cholesterol / blood
Endothelium, Vascular / physiology*
Mucocutaneous Lymph Node Syndrome / blood,  physiopathology*
Peptide Hydrolases / blood
Reg. No./Substance:
0/Biological Markers; 0/Cell Adhesion Molecules; 0/antithrombin III-protease complex; 57-88-5/Cholesterol; 9000-94-6/Antithrombin III; 9007-41-4/C-Reactive Protein; EC 3.4.-/Peptide Hydrolases

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