3 research outputs found
Clinical and laboratory characteristics of children with Kawasaki disease
Objective: In this study, we aimed to evaluate clinical and
laboratory characteristics of patients with Kawasaki disease
(KD) in Konya region of Turkey.
Methods: The hospital records of patients who were hospitalized
with the diagnosis of KD in the Pediatrics Clinics
of Konya Training and Research Hospital between May
2010 and June 2012 were reviewed retrospectively.
Results: Seven cases were found to have the diagnosis
of KD, two of whom were incomplete KD. Oropharynx
changes were the most common (100%) feature in our
patients. Five (71%) patients had bulbar conjunctivitis.
Three (43%) patients had erythema at the site of BCG
inoculation. Adenopathy was present in all of our patients
with the classical form. A desquamation was observed in
one case at the seventh day of fever. No cardiac manifestation
was seen. Elevated erythrocyte sedimentation rate
and thrombocytosis were present in all patients. All of the
patients were received intravenous immunoglobulin in the
first ten days of the fever.
Conclusion: KD should be considered as a possible
diagnosis in any child presenting with prolonged fever.
BCG reaction can be attributed as a diagnostic criterion
for incomplete form of the disease especially in countries
where BCG vaccination is routinely performed. Early
treatment is essential to prevent cardiovascular complications
Iron Deficiency Anemia among Hospitalized Children in Konya, Turkey
The aim of this study was to investigate the characteristics of our hospitalized patients with the diagnosis of iron deficiency anemia (IDA) and effects of the IDA prevention project of the Turkish Ministry of Health which was started in 2004. The recommended dose of prophylactic iron supplementation was 1-2âmg/kg/day. The files of 1519 patients who were hospitalized to Konya Education and Research Hospital Pediatrics Clinic were reviewed. A total of 50 patients consisting of 35 boys and 15 girls with the mean age of 16,59 Âą 1,68 months were included into the study. The prevalence of IDA was 3.29% (boys: 4.23%, girls: 2.1%). Hgb and Hct of the patients >24 months were significantly higher than those of the patients with the age of 6â12 months. Iron supplementation receiving rates were very low. Of the 28 patients older than 12 months, only 44% of them had received a full course of iron supplementation for 8 months. In conclusion, although prophylactic iron supplementation lowered the prevalences of IDA, receiving rates of iron supplementation were not adequate. While IDA is still a public health problem, prophylactic approaches should be carried out more effectively