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Title: En Cataluña la enfermedad de Kawasaki es más prevalente en las zonas rurales
Other Titles: Kawasaki disease is more prevalent in rural areas of Catalonia (Spain)
Author: Sánchez Manubens, Judith
Antón López, Jordi
Bou, Rosa
Iglesias, Estibaliz
Calzada Hernández, Joan
Rodó, Xavier
Morguí, Josep-Antón
Grupo de Trabajo en Enfermedad de Kawasaki, Cataluña
Keywords: Vasculitis
Issue Date: 24-Feb-2017
Publisher: Elsevier
Abstract: INTRODUCTION: Kawasaki disease (KD) is an acute self-limited systemic vasculitis relatively common in childhood. The etiology of KD is still unknown, although clinical, laboratory and epidemiological features suggest an infectious origin or trigger. Differences on incidence between countries have been related to specific genetic factors, ethnicity, country of birth and some other sociocultural and environmental factors. We present a population-based study on incidence of KD in Catalonia (Spain), focusing on differences between patients in rural and non-rural areas of the region. METHODS: Observational population-based study including all Pediatric Units in Catalan hospitals, between 2004 and 2014. A 12-month (March 2013-March 2014) prospective collection of new cases of KD was carried out to determine the incidence of KD. The rest of the data was retrieved retrospectively. RESULTS: Data from 399 patients over the 10-year study period was analyzed. Among the total KD patients, 353 (88.5%) lived in non-rural areas and 46 (11.5%) in rural areas. It was found that there is a significant difference (P<.001) between the percentage of rural population observed in patients with KD (11.5%), and the expected 5% of the Catalan population. CONCLUSION: This is the first population-based study showing significant differences on KD incidence rates between rural and non-rural areas.
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It is part of: Anales de Pediatria, 2017
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ISSN: 1695-4033
Appears in Collections:Articles publicats en revistes (ISGlobal)

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