Kushner Howard I, Macnee Rupert P, Burns Jane C
Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, 1518 Clifton Road NE, 5th Floor, Atlanta, GA30322, USA.
Perspect Biol Med. 2009 Winter;52(1):17-29. doi: 10.1353/pbm.0.0062.
Reports of Kawasaki disease (KD) throughout India are increasing. This article addresses the question of whether the increased diagnosis of KD in India represents the emerging recognition of an illness that had been previously obscured by misdiagnosis, or whether KD is new to India and is increasing in incidence.Whichever answer turns out to be correct, the burden of KD is likely to pose a significant challenge to the health-care system in India in the coming years, due to the high cost of treatment and the potential for lifelong cardiovascular sequelae.Moreover, elucidating the factors that have contributed to the increased recognition of KD in India may provide useful insights for the continuing search for the etiology of KD worldwide.
印度各地川崎病（KD）的报告数量正在增加。本文探讨了印度KD诊断增加是代表对一种先前因误诊而被掩盖的疾病的新认识，还是KD是印度新出现的疾病且发病率正在上升这一问题。无论正确答案是什么，由于治疗成本高昂以及可能出现终身心血管后遗症，未来几年KD的负担可能会给印度的医疗保健系统带来重大挑战。此外，阐明导致印度对KD认识增加的因素，可能为全球范围内继续寻找KD的病因提供有益的见解。
