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Epidemiological Study of Kawasaki Disease in Kyung Nam Area

Journal of the Korean Pediatric Society 2002;45(7):896-901.
Published online July 15, 2002.
Epidemiological Study of Kawasaki Disease in Kyung Nam Area
Jeong Soo Yang1, Eun Young Cho1, Hae Sung Jung1, Ji Young Hwang1, Dong-Jin Lee2, Eun Suk No3, Myoung-Bum Choi1, Chan-Hoo Park1, Hee-Shang Youn1, Hyang-Ok Woo1
1Departments of Pediatrics, College of Medicine, Gyeongsang National University, Chinju, Korea
2Department of Pediatrics, Dong Kang General Hospital, Ulsan, Korea
3Department of Pediatrics, Sungkunkwan University School of Medicine, Masan, Korea
경남 지역 가와사끼병의 역학적 조사
양정수1, 조은영1, 정혜성1, 황지영1, 이동진2, 노은석3, 최명범1, 박찬후1, 윤희상1, 우향옥1
1경상대학교 의과대학 소아과학교실
2울산 동강병원 소아과
3성균관대학교 의과대학 소아과학교실
Correspondence: 
Hyang-Ok Woo, Email: howoo@gshp.gsnu.ac.kr
Abstract
Purpose
: The aim of this study was to determine the epidemiology of Kawasaki disease in the Kyung Nam area and to evaluate whether the results of this epidemiological study could support infectious etiology.
Methods
: We sent a questionnaire to three training hospitals in the Kyung Nam area and retrospectively reviewed their medical records of Kawasaki disease from Jun. 1995 to Dec. 1999.
Results
: The total number of patients was 717 cases, with little differences of annual prevalence during the five years. In all cases, the monthly prevalence of Kawasaki disease was high in Apr. and Jul. At the eastern of Kyung Nam, the monthly prevalence was high in Apr. and Jul. in 1995 and 1996, Jul. in 1997, Apr. in 1998 and Apr. and Jul. in 1999. In the central area of Kyung Nam, the monthly prevalence was high in Apr. in 1995 and 1996, Apr. and Jul. in 1997 and Jul. in 1998 and 1999. In the western Kyung Nam, the monthly prevalence was high in Nov. in 1995, Aug. in 1996, Oct. in 1997, Dec. in 1998 and Nov. in 1999.
Conclusion
: In the eastern and central areas of Kyung Nam, the monthly prevalence of Kawasaki disease was similarly high in Apr. and Jul. However, in the western district, the prevalence was high in late fall and winter. We could not prove the hypothesis that Kawasaki disease occurred with the spread of single infectious agent, but the a nnually similar prevalence in eastern and central Kyung Nam supported the infection theory for the etiology of the disease.
Key Words: Kawasaki disease, Epidemiology


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