Cem KARADENİZ, Timur MEŞE, Mehmet KÜÇÜK, Rahmi ÖZDEMİR

İnkomplet Kawasaki hastalığı tanısını destekleyen basit bir belirteç: eritrosit dağılım genişliği

Amaç: Kawasaki Hastalığında ve özellikle inkomplet formunda, eritrosit dağılım genişliğinin (EDG) faydalı bir laboratuar belirteci olup olmadığını araştırmak. Yöntem: Hastanemizde Kawasaki Hastalığı tanısı almış çocuk hastalarımızın dosyaları retrospektif olarak incelendi. Bulgular: Çalışmamıza, Kawasaki Hastalığı olan 67 hasta ve 69 kontrol vaka alındı. EDG değerleri Kawasaki hastalarında, kontrol vakalarıyla karşılaştırıldığında anlamlı olarak daha yüksek bulundu. Komplet ve inkomplet Kawasaki hastalarının klinik ve laboratuar bulguları karşılaştırıldığında: İnkomplet Kawasaki hastalarında, tanı anındaki yaş anlamlı olarak daha düşük, EDG ise anlamlı olarak daha yüksek saptandı. Sonuç: Sonuçlarımız EDG’nin inkomplet Kawasaki Hastalığı tanısını desteklemede basit ve ucuz bir belirteç olabileceğini göstermektedir.

A simple marker in supporting the diagnosis of the incomplete Kawasaki disease: Red cell distribution width

Objective: To assess whether red cell distribution width (RDW) would be a useful laboratory marker for Kawasakidisease (KD), particularly its incomplete form (iKD).Method: We retrospectively evaluated the medical records of cases diagnosed with Kawasaki disease.Results: The number of the cases with KD and controls were 67 and 69, respectively. RDW values were significantlyhigher in patients with KD compared to controls. When clinical and laboratory findings of complete and incompleteKawasaki disease patients were compared, age at diagnosis was significantly lower and RDW values were significantlyhigher in patients with iKD.Conclusions: Our results showed that elevated RDW levels can be used as a simple, inexpensive laboratory marker insupporting the diagnosis of iKD.

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