Imperative for long-term management and surveillance in Kawasaki disease

Abstract

Kawasaki disease (KD) is a significant pediatric vasculitis known for its potential to cause severe coronary artery complications. Despite the effectiveness of initial treatments, such as intravenous immunoglobulin, KD patients can experience long-term cardiovascular issues, as evidenced by a recent case report of an adult who suffered a ST-segment elevation myocardial infarction due to previous KD in the World Journal of Clinical Cases. This editorial emphasizes the critical need for long-term management and regular surveillance to prevent such complications. By drawing on recent research and case studies, we advocate for a structured approach to follow-up care that includes routine cardiac evaluations and preventive measures.

Keywords: Kawasaki disease; Long-term management; Coronary artery aneurysm; Surveillance; Preventive care

Core Tip: Kawasaki disease management requires ongoing surveillance due to the risk of severe coronary artery complications. Consistent follow-up and preventive care are essential for reducing the risk of adverse cardiovascular events in Kawasaki disease patients.