PMID- 35043965 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 1465-3664 (Electronic) IS - 0142-6338 (Linking) VI - 68 IP - 1 DP - 2022 Jan 7 TI - High Serum Total IgE at Admission Is Associated with Coronary Artery Lesions in Children with Kawasaki Disease. LID - fmab113 [pii] LID - 10.1093/tropej/fmab113 [doi] AB - Kawasaki disease (KD) is associated with allergy. As immunoglobulin E (IgE), a key element of allergic reactions, is related with coronary heart disease, we evaluated the serum total IgE levels, and investigated its clinical relevance in 339 children with KD. These patients were classified as high IgE group and normal IgE group according to the reference value of IgE. Serum IgE levels in the high group (279.76 +/- 202.54 IU/mL) significantly increased compared with the normal group (5.51 +/- 15.79 IU/mL) (p < 0.001). There were also no significant differences in the frequency of major clinical manifestation between the two groups. The number of patients who developed coronary artery lesions (CALs) was significantly higher in the high group (p = 0.004), and the serum levels of IgE were also markedly higher in the KD patients with CALs than in patients without CALs (p = 0.002). High total serum IgE was an independent prognostic for CALs in the multivariate analysis. In conclusion, serum IgE levels may be associated with CALs in children with KD. CI - (c) The Author(s) [2022]. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Wang, Zhi AU - Wang Z AD - Department of Rheumatology, Jiangxi Province Children's Hospital, Nanchang, Jiangxi 330006, China. AD - Department of Rheumatology, The Affiliated Children's Hospital of Nanchang University, Nanchang, Jiangxi 330006, China. FAU - Liu, Xiaohui AU - Liu X AD - Department of Rheumatology, Jiangxi Province Children's Hospital, Nanchang, Jiangxi 330006, China. AD - Department of Rheumatology, The Affiliated Children's Hospital of Nanchang University, Nanchang, Jiangxi 330006, China. FAU - Duan, Zhao AU - Duan Z AD - Department of Rheumatology, Jiangxi Province Children's Hospital, Nanchang, Jiangxi 330006, China. AD - Department of Rheumatology, The Affiliated Children's Hospital of Nanchang University, Nanchang, Jiangxi 330006, China. FAU - Peng, Yu AU - Peng Y AUID- ORCID: 0000-0002-4623-8829 AD - Department of Rheumatology, Jiangxi Province Children's Hospital, Nanchang, Jiangxi 330006, China. AD - Department of Rheumatology, The Affiliated Children's Hospital of Nanchang University, Nanchang, Jiangxi 330006, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Trop Pediatr JT - Journal of tropical pediatrics JID - 8010948 RN - 0 (Immunoglobulins, Intravenous) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Child MH - *Coronary Artery Disease/etiology MH - Humans MH - Immunoglobulin E MH - Immunoglobulins, Intravenous/therapeutic use MH - Infant MH - *Mucocutaneous Lymph Node Syndrome/complications/diagnosis OTO - NOTNLM OT - IgE OT - Kawasaki disease OT - coronary artery lesions EDAT- 2022/01/20 06:00 MHDA- 2022/04/08 06:00 CRDT- 2022/01/19 08:54 PHST- 2022/01/19 08:54 [entrez] PHST- 2022/01/20 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] AID - 6511395 [pii] AID - 10.1093/tropej/fmab113 [doi] PST - ppublish SO - J Trop Pediatr. 2022 Jan 7;68(1):fmab113. doi: 10.1093/tropej/fmab113.