Kawasaki Disease in Mongolia : Results From 2 Nationwide Retrospective Surveys, 1996-2008
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概要
- 論文の詳細を見る
Background: Kawasaki disease (KD) has been reported in many countries. However, the incidence of KD in Mongolia is not known. This is the first report of incident cases of KD in Mongolia, which were identified using data from 2 nationwide surveys.Methods: Two nationwide retrospective surveys were conducted: medical histories were collected from patients aged 0 to 16 years who were hospitalized countrywide between 1996 and 2008. Hospital records for these patients were also reviewed. Nationwide training seminars on KD were conducted before each survey.Results: For the nationwide surveys, the participation rates among all hospitals with pediatric wards were 97% and 94%. Inpatient medical histories from 1996 through 2008 were reviewed, and, among children younger than 16 years, 9 patients with KD were investigated. The age of KD patients ranged from 1.4 to 14 years; 7 of 9 patients were male. Six (67%) patients fulfilled all 6 clinical diagnostic criteria; the other 3 (33%) were defined as having KD based on the presence of 5 such criteria. Fever persisting 5 or more days, bilateral conjunctival congestion, and changes of the lips and oral cavity were the most common symptoms, and cervical lymphadenopathy was the least common symptom. Cardiac sequelae developed in 5 of the patients, 4 of whom were older than 10 years.Conclusions: The results of these nationwide surveys reveal that KD cases do exist in Mongolia. However, knowledge of KD among Mongolian pediatricians is likely to be poor. Thus, there is a need to augment their understanding to improve management of KD patients. Further studies are crucial to clarify the epidemiologic characteristics of KD in Mongolia.
- 日本疫学会の論文
- 2011-07-01
著者
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上原 里程
Department Of Public Health Jichi Medical University
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柳川 洋
Department Of Public Health Jichi Medical University
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Nakamura Y
Department Of Public Health Jichi Medical University
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Nakamura Y
Human Genome Center Institute Of Medical Science University Of Tokyo
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Nagane Yutaka
東京大学医科学研究所ヒトゲノム解析センター
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中村 好一
Department of Public Health, Jichi Medical University
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Uehara Ritei
Department Of Pediatrics Jikei University School Of Medicine
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LKHAGVASUREN TSERENKHUU
Health Sciences University
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KAWASAKI Tomisaku
Japan Kawasaki Disease Research Center
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DAVAALKHAM DAMBADARJAA
Department of Public Health, Jichi Medical University School of Medicine
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Yanagawa H
Department Of Public Health Jichi Medical University
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KAWASAKI Tomisaku
Kawasaki Disease Research Center
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Nakamura Yasuyuki
Heart Rhythm Center Department Of Cardiovascular Medicine Shiga University Of Medical Science
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Nakamura Yosikazu
Department Of Health Science Division Of Epidemiology And Community Health Jichi Medical School
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Lkhagvasuren Tserenkhuu
Department Of Epidemiology And Biostatistics Health Sciences University
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Nakamura Y
Division Of Epidemiology Miyagi Cancer Center Research Institute
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Niwa Yoshimitsu
自治医科大学 公衆衛生学
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Nakamura Yusuke
Laboratory Of Molecular Medicine Human Genome Center Institute Of Medical Science University Of Toky
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Nakamura Yusuke
Univ. Tokyo Tokyo Jpn
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Nakamura Yasuyuki
滋賀医科大学 循環器内科
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Nakamura Yasuyuki
Division Of Cardiology Department Of Medicine Shiga University Of Medical Science
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Yanagawa Hiroshi
Department Of Applied Chemistry Keio University
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Nagatani Yukihiro
Heart Rhythm Center Department Of Cardiovascular Medicine Shiga University Of Medical Science
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BAIGALMAA Davaakhuu
Department of Surveillance and Response, National Center for Communicable Diseases
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DAVAA Gombojav
Department of Epidemiology and Biostatistics, School of Public Health, Health Sciences University of
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CHIMEDSUREN Ochir
Department of Epidemiology and Biostatistics, School of Public Health, Health Sciences University of
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SUMBERZUL Nyamjav
Health Sciences University of Mongolia
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Davaa Gombojav
Department Of Epidemiology And Biostatistics School Of Public Health Health Sciences University Of M
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Chimedsuren Ochir
Department Of Epidemiology And Biostatistics School Of Public Health Health Sciences University Of M
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Baigalmaa Davaakhuu
Department Of Surveillance And Response National Center For Communicable Diseases
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Davaalkham Dambadarjaa
Department Of Epidemiology And Biostatistics School Of Public Health Health Sciences University Of M
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中村 好一
Laboratory Of Molecular Medicine Human Genome Center Institute Of Medical Science University Of Toky
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Nonomura Yasuhiro
Department Of Neuropsychiatry Osaka Medical College
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