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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Musculoskeletal Disorders 1/2015

Profiles of responses of immunological factors to different subtypes of Kawasaki disease

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2015
Autoren:
Yan Ding, Gang Li, Li-Juan Xiong, Wei Yin, Jie Liu, Fan Liu, Rui-Geng Wang, Kun Xia, Shu-Ling Zhang, Lei Zhao
Wichtige Hinweise
Yan Ding, Gang Li and Li-Juan Xiong contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

YD, GL and LX conducted the work. WY took part in statistical analysis. JL and FL participated in data collection. RW and KX performed the patient observation. SZ carried out the data checking. Lei Zhao designed the research. All authors read and approved the final manuscript.

Abstract

Background

The responses of immunological factors to different subtypes of Kawasaki disease (KD) remain poorly understood.

Methods

We recruited 388 patients with KD, 160 patients with infectious febrile disease and 85 normal children who served as control subjects. Both the levels and percentages of T lymphocyte subsets, natural killer cells (NK cells) and B cells were analyzed via flow cytometry. The levels of serum IgG, IgM, IgA and C3, C4 were assessed via velocity scatter turbidimetry.

Results

The most significant differences noted between the patients with infectious febrile disease and the normal children were the elevated levels of B cells, C3 and the ratio of CD4/CD8, and the decreased levels of CD8+ T cells and NK cells, as well as the moderate increase in the absolute value of the CD3+ cells. The decreased T cell levels and the elevated B cell levels were helpful in distinguishing typical KD from atypical KD; the elevated T cell levels, the elevated NK cell and B cell levels and the decreased B cell levels were helpful in predicting the effectiveness of IVIG; low C3 and C4 levels were linked with prodromal infections.

Conclusions

Lymphocytes subsets and complement markers may be useful in differentiating among the different subtypes of KD and in helping clinicians understand the pathophysiology of KD.
Literatur
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