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Commentary on: Verdoni L, Mazza A, Gervasoni A, et al. An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort study. Lancet 2020; 395: 1771–78. doi: 10.1016/S0140-6736(20)31103-X.
Implications for practice and research
Recent reports of incremental trends of Kawasaki (KD) disease among children in COVID-19 epidemic areas is a significant issue that cannot be simply ignored.
KD has a strict diagnostic criterion, so the attribution of a set of inflammatory symptoms in children with COVID-19 to KD requires more careful interpretation.
The cause of Kawasaki disease (KD) as an acute febrile illness of childhood is not fully understood. Although certain epidemiologic and clinical features support an infectious origin, no single infectious aetiologic agent has been successfully identified.1 KD has a wide range of clinical and laboratory features, so can be …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.