Pediatric rheumatology

Exploring the association between serum Vitamin D levels and the development of coronary artery lesions in Kawasaki disease - a systematic review

Pediatr Rheumatol Online JPublished Systematic review

Authors' conclusion

Overall, the evidence is inconclusive, but there's a trend suggesting potential benefits of sufficient vitamin D levels in Kawasaki disease rather than evidence refuting any association with clinical outcomes.

Study context

Population
Patients with Kawasaki disease and healthy controls5 studies
Participants
442 vs 594
Comparison
Kawasaki Disease (KD) patients vs healthy controls; serum vitamin D and coronary artery lesions (CAL)
  • KDn = 442
  • Healthy controlsn = 594reference
Outcome
Association between serum vitamin D levels and CAL in KD
Methodological detailsNewcastle-Ottawa Scale quality assessment, four databases (PubMed, Embase, Scopus, Web of Science)
  • Newcastle-Ottawa Scale quality assessment
  • Four databases (PubMed, Embase, Scopus, Web of Science)

Pooled result

As reported in the abstract

  • CAL: one study found lower vitamin D, another found higher levels associated with CAL, and two found no significant difference
  • Mixed findings on association with CAL and IVIG resistance

Further pooled results

KD patients generally had lower serum vitamin D vs controls; 3 studies supported lower vitamin D in KD, one showed no significant difference

Original publication

Exploring the association between serum Vitamin D levels and the development of coronary artery lesions in Kawasaki disease - a systematic review. Pediatr Rheumatol Online J. Published 5 August 2024. doi:10.1186/s12969-024-01010-1

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