Department of Emergency Medicine, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Pediatrics, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Clin Chim Acta. 2022 Jul 1;532:21-28. doi: 10.1016/j.cca.2022.05.015. Epub 2022 May 21.
Infancy and early childhood are the most common ages for acute pyretic Kawasaki disease (KD). Although the etiology remains a mystery, the current concept is that KD is caused by a contagious pathogen that infects the genetically vulnerable and induces an inflammatory mechanism aimed at cardiovascular organs. Resolving the inflammatory process and decreasing the incidence of coronary anomalies, namely coronary aneurysms, are two benefits of high-dose intravenous immunoglobulin (IVIG) administration. The etiology of KD has been linked to a large number of cytokines and treatment strategies to regulate these cytokines have been suggested. This review will focus on the critical role of cytokines in disease development and possible treatment approaches and potential clinical applications.
婴儿期和幼儿期是急性高热川崎病(KD)最常见的发病年龄。虽然病因仍不清楚,但目前的概念是,KD 是由传染性病原体引起的,该病原体感染具有遗传易感性的人群,并诱导针对心血管器官的炎症机制。解决炎症过程并降低冠状动脉异常(即冠状动脉瘤)的发生率是大剂量静脉注射免疫球蛋白(IVIG)给药的两个益处。KD 的病因与大量细胞因子有关,并提出了调节这些细胞因子的治疗策略。本综述将重点关注细胞因子在疾病发展中的关键作用以及可能的治疗方法和潜在的临床应用。