Journal
AUTOIMMUNITY REVIEWS
Volume 9, Issue 6, Pages 441-448Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.autrev.2009.12.004
Keywords
Kawasaki disease; Vasculitis; Endothelial cells; Intravenous immunoglobulin
Categories
Funding
- INSERM
- CNRS
- University Pierre et Marie Curie Paris 6
- Universite Paris Descartes-Paris V. Laboratoire Francais du Fractionnement et des Biotechnologies
- Assistance Publique des Hopitaux de Paris
- FERCM
Ask authors/readers for more resources
Kawasaki disease (KD) is an acute febrile childhood vasculitis, associated with the development of coronary artery abnormalities in 25-30% of untreated patients. The aetiopathogenesis is not well known but it is accepted that an undefined infectious trigger in genetically predisposed individuals results in the disease. KD is characterized by an endothelial cell injury, which could be due to abnormal cytokine production and to generation of cytotoxic antibodies against the endothelial cells. Intravenous immunoglobulin IVIG is an effective treatment in preventing the occurrence of coronary artery abnormalities in KD. Several mechanisms may explain the anti-inflammatory effects of IVIG in this disease. They include modification of the cytokine balance, and alteration on both the differentiation and the function of monocytes/macrophages, neutrophils and lymphocytes. (C) 2009 Elsevier B.V. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available