Pediatric rheumatology

Association of platelet level and white blood cell level with coronary artery lesions persistence among patients with Kawasaki disease

Rheumatology (Oxford)Published study

Authors' conclusion

A high PLT level (≥450 × 10^9/L) is independently associated with CAL persistence at one month in KD patients with pre-IVIG CALs. The coexistence of high PLT and high WBC level may be associated with increased odds of CALs persistence at one month, requiring confirmation in larger prospective studies.

Study context

Population
Kawasaki disease (KD) patients with coronary artery lesions (CALs) prior to intravenous immunoglobulin (IVIG) treatmentKD patients with CALs prior to IVIG treatment
Participants
170 patients
Comparison
Platelet (PLT) level and their interaction with WBC level on CALs persistence
Outcome
CAL persistence
Follow-up
One month
Methodological detailslogistic regression
  • Logistic regression

Main finding

As reported in the abstract

Patients with CAL persistence

74

43.5%

Further findings

CAL persistence, PLT ≥450 × 10^9/L · one month

Adjusted OR, PLT ≥450 × 10^9/L (comparator not stated)
4.860 (95% CI: 1.278, 18.487)
  • Increased odds of CAL persistence

Interaction between PLT and WBC level

Interaction P
P = 0.049
  • Nominally significant

CAL persistence, PLT ≥450 × 10^9/L and WBC >15 × 10^9/L (exploratory) · one month

Adjusted OR (comparator not stated)
6.101 (95% CI: 0.620, 60.012)
  • Exploratory analysis

Original publication

Association of platelet level and white blood cell level with coronary artery lesions persistence among patients with Kawasaki disease. Rheumatology (Oxford). Published 3 November 2026. doi:10.1093/rheumatology/keag625

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