BPG is committed to discovery and dissemination of knowledge
Minireviews
Copyright ©The Author(s) 2025.
World J Clin Pediatr. Dec 9, 2025; 14(4): 108520
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108520
Table 1 Core pathological features and key mechanisms of Kawasaki disease
Pathological features/mechanisms
Description
Core pathological features
    Systemic vasculitisInflammation of blood vessels throughout the body
    Specific involvement of coronary arteriesHigh risk of coronary artery aneurysms and other complications
Key mechanisms
    Abnormal immune system activationOverproduction of inflammatory cytokines leading to vascular damage
    Infection trigger hypothesisPossible role of viral or bacterial infections in initiating the immune response
    Genetic susceptibilitySpecific genetic variants increasing the risk of developing Kawasaki disease
    Endothelial cell dysfunctionDamage to endothelial cells causing increased vascular permeability and blood clot formation