Pediatric rheumatology

Red blood cell distribution width predicts coronary artery lesions in Kawasaki disease: insights from a Japanese cohort

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Iron dysregulation may be associated with CAD, and RDW-CV may aid in identifying patients who may develop CAD in KD.

Study context

Population
Japanese children diagnosed with kawasaki disease (KD) between January 2019 and March 2024
Participants
175 children
Exposure
KD with coronary artery disease (CAD) vs KD without CAD
  • CADn = 77
  • Non-CADn = 98reference
Outcome
Risk factors for early prediction of CAD in KD
Methodological detailsunivariate and multivariate logistic regression, ROC curve analysis
  • Univariate and multivariate logistic regression
  • ROC curve analysis

Main finding

As reported in the abstract

RDW-CV as predictor of CAD

RDW coefficient of variation (RDW-CV) AUC

0.636

RDW-CV sensitivity

55.8%

RDW-CV specificity

70.4%

Observational data: associations, not effects.

Further findings

Baseline differences, CAD vs non-CAD

CAD patients younger, with lower hemoglobin (Hb), total protein, albumin, uric acid and urea nitrogen, and higher RDW-CV than non-CAD

Correlation of RDW-CV with iron-related anemia biomarkers

Significant correlations in CAD group, not in non-CAD group

Original publication

Red blood cell distribution width predicts coronary artery lesions in Kawasaki disease: insights from a Japanese cohort. Pediatr Rheumatol Online J. Published 25 March 2025. doi:10.1186/s12969-025-01083-6

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