LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY
This retrospective study was conducted to analyze clinical and laboratoristic parameters to individuate specific differences and facilitate differential diagnosis between Measles and Kawasaki Disease (KD) at first evaluation in a emergency room. We found similar clinical features as duration of feve...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2018-05-01
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| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
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| Online Access: | https://www.mjhid.org/index.php/mjhid/article/view/3321 |
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| author | Danilo Buonsenso Giulia Macchiarulo Maria Chiara Supino Francesco La Penna Simona Scateni Alessandra Marchesi Antonino Reale Elena Boccuzzi |
| author_facet | Danilo Buonsenso Giulia Macchiarulo Maria Chiara Supino Francesco La Penna Simona Scateni Alessandra Marchesi Antonino Reale Elena Boccuzzi |
| author_sort | Danilo Buonsenso |
| collection | DOAJ |
| description | This retrospective study was conducted to analyze clinical and laboratoristic parameters to individuate specific differences and facilitate differential diagnosis between Measles and Kawasaki Disease (KD) at first evaluation in a emergency room. We found similar clinical features as duration of fever and number of KD criteria (p >0.5) but significant differences in white blood cell count, neutrophils, CRP and LDH levels (p < 0.001). LDH value ≥ 800 mg/dl had sensibility of 89% and specificity of 90% for Measles while CRP ≥ 3 mg/dl had sensibility 89% and specificity of 85% for KD. The combined use of CRP, LDH and AST showed accuracy of 86.67%. |
| format | Article |
| id | doaj-art-3ef0e391e6d84d50a8a90ee302609783 |
| institution | DOAJ |
| issn | 2035-3006 |
| language | English |
| publishDate | 2018-05-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-3ef0e391e6d84d50a8a90ee3026097832025-08-20T02:50:47ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062018-05-01101e2018033e201803310.4084/mjhid.2018.0331753LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDYDanilo Buonsenso0Giulia Macchiarulo1Maria Chiara SupinoFrancesco La PennaSimona ScateniAlessandra MarchesiAntonino RealeElena BoccuzziDanilo Buonsenso, MD, Catholic University of Sacred Heart—A. Gemelli Hospital, Department of Pediatrics, Pediatric Infectious Disease Unit, Largo A. Gemelli 8, 00168 Rome, Italy. E-mail:1,3, 4,This retrospective study was conducted to analyze clinical and laboratoristic parameters to individuate specific differences and facilitate differential diagnosis between Measles and Kawasaki Disease (KD) at first evaluation in a emergency room. We found similar clinical features as duration of fever and number of KD criteria (p >0.5) but significant differences in white blood cell count, neutrophils, CRP and LDH levels (p < 0.001). LDH value ≥ 800 mg/dl had sensibility of 89% and specificity of 90% for Measles while CRP ≥ 3 mg/dl had sensibility 89% and specificity of 85% for KD. The combined use of CRP, LDH and AST showed accuracy of 86.67%.https://www.mjhid.org/index.php/mjhid/article/view/3321measles , kawasaki disease |
| spellingShingle | Danilo Buonsenso Giulia Macchiarulo Maria Chiara Supino Francesco La Penna Simona Scateni Alessandra Marchesi Antonino Reale Elena Boccuzzi LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY Mediterranean Journal of Hematology and Infectious Diseases measles , kawasaki disease |
| title | LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY |
| title_full | LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY |
| title_fullStr | LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY |
| title_full_unstemmed | LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY |
| title_short | LABORATORY BIOMARKERS TO FACILITATE DIFFERENTIAL DIAGNOSIS BETWEEN MEASLES AND KAWASAKI DISEASE IN A PEDIATRIC EMERGENCY ROOM: A RETROSPECTIVE STUDY |
| title_sort | laboratory biomarkers to facilitate differential diagnosis between measles and kawasaki disease in a pediatric emergency room a retrospective study |
| topic | measles , kawasaki disease |
| url | https://www.mjhid.org/index.php/mjhid/article/view/3321 |
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