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Published in: Pediatric Drugs 1/2018

01-02-2018 | Review Article

Treatment Options for Resistant Kawasaki Disease

Authors: Linny Kimly Phuong, Nigel Curtis, Peter Gowdie, Jonathan Akikusa, David Burgner

Published in: Pediatric Drugs | Issue 1/2018

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Abstract

“Resistant” Kawasaki disease is defined by the American Heart Association as failure to respond within 36 h following the first dose of intravenous immunoglobulin. The optimal management of resistant Kawasaki disease remains uncertain, the outcomes are potentially serious, and the cost of some treatments is considerable. We review the current evidence to guide treatment of resistant Kawasaki disease. Given the relative rarity, there are few trial data, and studies tend to be small and methodologically heterogeneous, making interpretation difficult and limiting generalisability. The literature on resistant Kawasaki disease should be interpreted with reference to current expert consensus guidelines.
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Literature
3.
go back to reference Dajani AS, Taubert KA, Gerber MA, et al. Diagnosis and therapy of Kawasaki disease in children. Circulation. 1993;87(5):1776–80.PubMedCrossRef Dajani AS, Taubert KA, Gerber MA, et al. Diagnosis and therapy of Kawasaki disease in children. Circulation. 1993;87(5):1776–80.PubMedCrossRef
4.
go back to reference Kato H, Koike S, Yamamoto M, et al. Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome. J Pediatr. 1975;86(6):892–8.PubMedCrossRef Kato H, Koike S, Yamamoto M, et al. Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome. J Pediatr. 1975;86(6):892–8.PubMedCrossRef
5.
go back to reference Burns JC, Shike H, Gordon JB, et al. Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol. 1996;1:253.CrossRef Burns JC, Shike H, Gordon JB, et al. Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol. 1996;1:253.CrossRef
8.
go back to reference Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugī = [Allergy]. 1967;16(3):178–222. Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children. Arerugī = [Allergy]. 1967;16(3):178–222.
9.
go back to reference Sano T, Makino N, Aoyama Y, et al. Temporal and geographical clustering of Kawasaki disease in Japan (2007–2012). Pediatr Int. 2016. doi:10.1111/ped.12970. Sano T, Makino N, Aoyama Y, et al. Temporal and geographical clustering of Kawasaki disease in Japan (2007–2012). Pediatr Int. 2016. doi:10.​1111/​ped.​12970.
10.
go back to reference Nakamura Y, Yanagawa I, Kawasaki T. Temporal and geographical clustering of Kawasaki disease in Japan. Prog Clin Biol Res. 1987;250:19–32.PubMed Nakamura Y, Yanagawa I, Kawasaki T. Temporal and geographical clustering of Kawasaki disease in Japan. Prog Clin Biol Res. 1987;250:19–32.PubMed
11.
go back to reference Yanagawa H, Yashiro M, Nakamura Y, et al. Results of 12 nationwide epidemiological incidence surveys of Kawasaki disease in Japan. Arch Pediatr Adolesc Med. 1995;149(7):779–83.PubMedCrossRef Yanagawa H, Yashiro M, Nakamura Y, et al. Results of 12 nationwide epidemiological incidence surveys of Kawasaki disease in Japan. Arch Pediatr Adolesc Med. 1995;149(7):779–83.PubMedCrossRef
12.
13.
go back to reference Fujita Y, Nakamura Y, Sakata K, et al. Kawasaki disease in families. Pediatrics. 1989;84(4):666.PubMed Fujita Y, Nakamura Y, Sakata K, et al. Kawasaki disease in families. Pediatrics. 1989;84(4):666.PubMed
15.
go back to reference Saji BT, Newburger JW, Burns JC, et al. Kawasaki disease: current understanding of the mechanism and evidence-based treatment. Springer Medicine eBooks. Springer Japan; 2017,9784431560395 4431560394. Saji BT, Newburger JW, Burns JC, et al. Kawasaki disease: current understanding of the mechanism and evidence-based treatment. Springer Medicine eBooks. Springer Japan; 2017,9784431560395 4431560394.
16.
go back to reference McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation. 2017. doi:10.1161/CIR.0000000000000484. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation. 2017. doi:10.​1161/​CIR.​0000000000000484​.
18.
go back to reference Wang C-L, Wu Y-T, Liu C-A, et al. Kawasaki disease: infection, immunity and genetics. Pediatr Infect Dis J. 2005;24(11):998–1004.PubMedCrossRef Wang C-L, Wu Y-T, Liu C-A, et al. Kawasaki disease: infection, immunity and genetics. Pediatr Infect Dis J. 2005;24(11):998–1004.PubMedCrossRef
22.
go back to reference Research Committee of the Japanese Society of Pediatric Cardiology: Cardiac Surgery Committee for Development of Guidelines for Medical Treatment of Acute Kawasaki Disease. Guidelines for medical treatment of acute Kawasaki disease: report of the Research Committee of the Japanese Society of Pediatric Cardiology and Cardiac Surgery (2012 revised version). Pediatr Int. 2014;56(2):135–58. doi:10.1111/ped.12317.CrossRef Research Committee of the Japanese Society of Pediatric Cardiology: Cardiac Surgery Committee for Development of Guidelines for Medical Treatment of Acute Kawasaki Disease. Guidelines for medical treatment of acute Kawasaki disease: report of the Research Committee of the Japanese Society of Pediatric Cardiology and Cardiac Surgery (2012 revised version). Pediatr Int. 2014;56(2):135–58. doi:10.​1111/​ped.​12317.CrossRef
23.
go back to reference Terai M, Shulman ST. Prevalence of coronary artery abnormalities in Kawasaki disease is highly dependent on gamma globulin dose but independent of salicylate dose. J Pediatr. 1997;131(6):888–93.PubMedCrossRef Terai M, Shulman ST. Prevalence of coronary artery abnormalities in Kawasaki disease is highly dependent on gamma globulin dose but independent of salicylate dose. J Pediatr. 1997;131(6):888–93.PubMedCrossRef
24.
go back to reference Newburger JW, Takahashi M, Beiser AS, et al. A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome. N Engl J Med. 1991. doi:10.1056/NEJM199106063242305. Newburger JW, Takahashi M, Beiser AS, et al. A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome. N Engl J Med. 1991. doi:10.​1056/​NEJM199106063242​305.
25.
go back to reference Newburger JW, Takahashi M, Burns JC, et al. The treatment of Kawasaki syndrome with intravenous gamma globulin. N Engl J Med. 1986;315(6):341–7.PubMedCrossRef Newburger JW, Takahashi M, Burns JC, et al. The treatment of Kawasaki syndrome with intravenous gamma globulin. N Engl J Med. 1986;315(6):341–7.PubMedCrossRef
26.
go back to reference Okuni M, Harada K, Yamaguchi H, et al. Intravenous gamma globulin therapy in Kawasaki disease-trial of low dose gamma globulin. Prog Clin Biol Res. 1987;250:433–9.PubMed Okuni M, Harada K, Yamaguchi H, et al. Intravenous gamma globulin therapy in Kawasaki disease-trial of low dose gamma globulin. Prog Clin Biol Res. 1987;250:433–9.PubMed
28.
go back to reference Leung DY, Cotran RS, Kurt-Jones E, et al. Endothelial cell activation and high interleukin-1 secretion in the pathogenesis of acute Kawasaki disease. Lancet. 1989;2(8675):1298–302.PubMedCrossRef Leung DY, Cotran RS, Kurt-Jones E, et al. Endothelial cell activation and high interleukin-1 secretion in the pathogenesis of acute Kawasaki disease. Lancet. 1989;2(8675):1298–302.PubMedCrossRef
29.
go back to reference Suzuki H, Uemura S, Tone S, et al. Effects of immunoglobulin and gamma-interferon on the production of tumour necrosis factor-alpha and interleukin-1 beta by peripheral blood monocytes in the acute phase of Kawasaki disease. Eur J Pediatr. 1996;155(4):291–6.PubMedCrossRef Suzuki H, Uemura S, Tone S, et al. Effects of immunoglobulin and gamma-interferon on the production of tumour necrosis factor-alpha and interleukin-1 beta by peripheral blood monocytes in the acute phase of Kawasaki disease. Eur J Pediatr. 1996;155(4):291–6.PubMedCrossRef
30.
go back to reference Arend WP, Leung DY. IgG induction of IL-1 receptor antagonist production by human monocytes. Immunol Rev. 1994;139:71–8.PubMedCrossRef Arend WP, Leung DY. IgG induction of IL-1 receptor antagonist production by human monocytes. Immunol Rev. 1994;139:71–8.PubMedCrossRef
31.
go back to reference Okitsu-Negishi S, Furusawa S, Kawa Y, et al. Suppressive effect of intravenous immunoglobulins on the activity of interleukin-1. Immunol Res. 1994;13(1):49–55.PubMedCrossRef Okitsu-Negishi S, Furusawa S, Kawa Y, et al. Suppressive effect of intravenous immunoglobulins on the activity of interleukin-1. Immunol Res. 1994;13(1):49–55.PubMedCrossRef
32.
go back to reference Kobayashi N, Mori M, Kobayashi Y, et al. Intravenous gamma-globulin therapy improves hypercytokinemia in the acute phase of Kawasaki disease. Mod Rheumatol. 2004;14(6):447–52.PubMedCrossRef Kobayashi N, Mori M, Kobayashi Y, et al. Intravenous gamma-globulin therapy improves hypercytokinemia in the acute phase of Kawasaki disease. Mod Rheumatol. 2004;14(6):447–52.PubMedCrossRef
33.
go back to reference Wang Y, Wang W, Gong F, et al. Evaluation of intravenous immunoglobulin resistance and coronary artery lesions in relation to Th1/Th2 cytokine profiles in patients with Kawasaki disease. Arthritis Rheum. 2013;65(3):805–14. doi:10.1002/art.37815.PubMedCrossRef Wang Y, Wang W, Gong F, et al. Evaluation of intravenous immunoglobulin resistance and coronary artery lesions in relation to Th1/Th2 cytokine profiles in patients with Kawasaki disease. Arthritis Rheum. 2013;65(3):805–14. doi:10.​1002/​art.​37815.PubMedCrossRef
35.
go back to reference Durongpisitkul K, Gururaj VJ, Park JM, et al. The prevention of coronary artery aneurysm in Kawasaki disease: a meta-analysis on the efficacy of aspirin and immunoglobulin treatment. Pediatrics. 1995;96(6):1057–61.PubMed Durongpisitkul K, Gururaj VJ, Park JM, et al. The prevention of coronary artery aneurysm in Kawasaki disease: a meta-analysis on the efficacy of aspirin and immunoglobulin treatment. Pediatrics. 1995;96(6):1057–61.PubMed
36.
go back to reference Kato H, Inoue O, Akagi T. Kawasaki disease: cardiac problems and management. Pediatr Rev. 1988;9(7):209–17.PubMedCrossRef Kato H, Inoue O, Akagi T. Kawasaki disease: cardiac problems and management. Pediatr Rev. 1988;9(7):209–17.PubMedCrossRef
38.
39.
go back to reference Shulman ST, Bass JL, Bierman F, et al. Management of Kawasaki syndrome: a consensus statement prepared by North American participants of the Third International Kawasaki Disease Symposium, Tokyo, Japan, December, 1988. Pediatr Infect Dis J. 1989;8(10):663–7.CrossRef Shulman ST, Bass JL, Bierman F, et al. Management of Kawasaki syndrome: a consensus statement prepared by North American participants of the Third International Kawasaki Disease Symposium, Tokyo, Japan, December, 1988. Pediatr Infect Dis J. 1989;8(10):663–7.CrossRef
40.
go back to reference Uehara R, Belay ED, Maddox RA, et al. Analysis of potential risk factors associated with nonresponse to initial intravenous immunoglobulin treatment among Kawasaki disease patients in Japan. Pediatr Infect Dis J. 2008;27(2):155–60. doi:10.1097/INF.0b013e31815922b5.PubMed Uehara R, Belay ED, Maddox RA, et al. Analysis of potential risk factors associated with nonresponse to initial intravenous immunoglobulin treatment among Kawasaki disease patients in Japan. Pediatr Infect Dis J. 2008;27(2):155–60. doi:10.​1097/​INF.​0b013e31815922b5​.PubMed
41.
go back to reference Burns JC, Capparelli EV, Brown JA, et al. Intravenous gamma-globulin treatment and retreatment in Kawasaki disease. US/Canadian Kawasaki Syndrome Study Group. Pediatr Infect Dis J. 1998;17(12):1144–8.PubMedCrossRef Burns JC, Capparelli EV, Brown JA, et al. Intravenous gamma-globulin treatment and retreatment in Kawasaki disease. US/Canadian Kawasaki Syndrome Study Group. Pediatr Infect Dis J. 1998;17(12):1144–8.PubMedCrossRef
43.
go back to reference Kitano N, Suzuki H, Takeuchi T, et al. Epidemiologic features and prognostic factors of coronary artery lesions associated with Kawasaki disease based on a 13-year cohort of consecutive cases identified by complete enumeration surveys in Wakayama, Japan. J Epidemiol. 2014;24(5):427–34. doi:10.2188/jea.JE20140018.PubMedCrossRef Kitano N, Suzuki H, Takeuchi T, et al. Epidemiologic features and prognostic factors of coronary artery lesions associated with Kawasaki disease based on a 13-year cohort of consecutive cases identified by complete enumeration surveys in Wakayama, Japan. J Epidemiol. 2014;24(5):427–34. doi:10.​2188/​jea.​JE20140018.PubMedCrossRef
48.
go back to reference Hwang JY, Lee KY, Rhim JW, et al. Assessment of intravenous immunoglobulin non-responders in Kawasaki disease. Arch Dis Child. 2011;96(11):1088–90.PubMedCrossRef Hwang JY, Lee KY, Rhim JW, et al. Assessment of intravenous immunoglobulin non-responders in Kawasaki disease. Arch Dis Child. 2011;96(11):1088–90.PubMedCrossRef
50.
go back to reference Levy M, Koren G. Atypical Kawasaki disease: analysis of clinical presentation and diagnostic clues. Pediatr Infect Dis J. 1990;9(2):122–6.PubMedCrossRef Levy M, Koren G. Atypical Kawasaki disease: analysis of clinical presentation and diagnostic clues. Pediatr Infect Dis J. 1990;9(2):122–6.PubMedCrossRef
51.
go back to reference Joffe A, Kabani A, Jadavji T. Atypical and complicated Kawasaki disease in infants. Do we need criteria? West J Med. 1995;162(4):322–7.PubMedPubMedCentral Joffe A, Kabani A, Jadavji T. Atypical and complicated Kawasaki disease in infants. Do we need criteria? West J Med. 1995;162(4):322–7.PubMedPubMedCentral
52.
go back to reference Chuang CH, Hsiao MH, Chiu CH, et al. Kawasaki disease in infants three months of age or younger. J Microbiol Immunol Infect. 2006;39(5):387–91.PubMed Chuang CH, Hsiao MH, Chiu CH, et al. Kawasaki disease in infants three months of age or younger. J Microbiol Immunol Infect. 2006;39(5):387–91.PubMed
54.
go back to reference Chang F, Hwang B, Chen S, et al. Characteristics of Kawasaki disease in infants younger than six months of age. Pediatr Infect Dis J. 2006;25(3):241–4.PubMedCrossRef Chang F, Hwang B, Chen S, et al. Characteristics of Kawasaki disease in infants younger than six months of age. Pediatr Infect Dis J. 2006;25(3):241–4.PubMedCrossRef
55.
go back to reference Wallace CA, French JW, Kahn SJ, et al. Initial intravenous gammaglobulin treatment failure in Kawasaki disease. Pediatrics. 2000;105(6):E78-E.CrossRef Wallace CA, French JW, Kahn SJ, et al. Initial intravenous gammaglobulin treatment failure in Kawasaki disease. Pediatrics. 2000;105(6):E78-E.CrossRef
56.
go back to reference Han RK, Silverman ED, Newman A, et al. Management and outcome of persistent or recurrent fever after initial intravenous gamma globulin therapy in acute Kawasaki disease. Arch Pediatr Adolesc Med. 2000;154(7):694–9.PubMedCrossRef Han RK, Silverman ED, Newman A, et al. Management and outcome of persistent or recurrent fever after initial intravenous gamma globulin therapy in acute Kawasaki disease. Arch Pediatr Adolesc Med. 2000;154(7):694–9.PubMedCrossRef
58.
go back to reference Furukawa T, Kishiro M, Akimoto K, et al. Effects of steroid pulse therapy on immunoglobulin-resistant Kawasaki disease. Arch Dis Child. 2008;93(2):142–6.PubMedCrossRef Furukawa T, Kishiro M, Akimoto K, et al. Effects of steroid pulse therapy on immunoglobulin-resistant Kawasaki disease. Arch Dis Child. 2008;93(2):142–6.PubMedCrossRef
59.
go back to reference Ogata S, Bando Y, Kimura S, et al. The strategy of immune globulin resistant Kawasaki disease: a comparative study of additional immune globulin and steroid pulse therapy. J Cardiol. 2009;53(1):15–9.PubMedCrossRef Ogata S, Bando Y, Kimura S, et al. The strategy of immune globulin resistant Kawasaki disease: a comparative study of additional immune globulin and steroid pulse therapy. J Cardiol. 2009;53(1):15–9.PubMedCrossRef
60.
go back to reference Naoe S, Takahashi K, Masuda H, et al. Kawasaki disease. With particular emphasis on arterial lesions. Acta Pathologica Japonica. 1991;41(11):785–97.PubMed Naoe S, Takahashi K, Masuda H, et al. Kawasaki disease. With particular emphasis on arterial lesions. Acta Pathologica Japonica. 1991;41(11):785–97.PubMed
63.
go back to reference Wright DA, Newburger JW, Baker A, et al. Treatment of immune globulin-resistant Kawasaki disease with pulsed doses of corticosteroids. J Pediatr. 1996;128(1):144–6.CrossRef Wright DA, Newburger JW, Baker A, et al. Treatment of immune globulin-resistant Kawasaki disease with pulsed doses of corticosteroids. J Pediatr. 1996;128(1):144–6.CrossRef
64.
go back to reference Kato H, Koike S, Yokoyama T. Kawasaki disease: effect of treatment on coronary artery involvement. Pediatrics. 1979;63(2):175–80.PubMed Kato H, Koike S, Yokoyama T. Kawasaki disease: effect of treatment on coronary artery involvement. Pediatrics. 1979;63(2):175–80.PubMed
65.
go back to reference Lo JY, Minich LL, Tani LY, et al. Coronary artery disease: factors associated with resource utilization and coronary artery dilation in refractory Kawasaki disease (from the Pediatric Health Information System Database). Am J Cardiol. 2016;118(11):1636–40. doi:10.1016/j.amjcard.2016.08.039.PubMedCrossRef Lo JY, Minich LL, Tani LY, et al. Coronary artery disease: factors associated with resource utilization and coronary artery dilation in refractory Kawasaki disease (from the Pediatric Health Information System Database). Am J Cardiol. 2016;118(11):1636–40. doi:10.​1016/​j.​amjcard.​2016.​08.​039.PubMedCrossRef
66.
67.
go back to reference Kobayashi T, Kobayashi T, Morikawa A, et al. Efficacy of intravenous immunoglobulin combined with prednisolone following resistance to initial intravenous immunoglobulin treatment of acute Kawasaki disease. J Pediatr. 2013;163(2):521–6.PubMedCrossRef Kobayashi T, Kobayashi T, Morikawa A, et al. Efficacy of intravenous immunoglobulin combined with prednisolone following resistance to initial intravenous immunoglobulin treatment of acute Kawasaki disease. J Pediatr. 2013;163(2):521–6.PubMedCrossRef
69.
go back to reference Miura M, Ohki H, Yoshiba S, et al. Adverse effects of methylprednisolone pulse therapy in refractory Kawasaki disease. Arch Dis Child. 2005;90(10):1096–7.PubMedPubMedCentralCrossRef Miura M, Ohki H, Yoshiba S, et al. Adverse effects of methylprednisolone pulse therapy in refractory Kawasaki disease. Arch Dis Child. 2005;90(10):1096–7.PubMedPubMedCentralCrossRef
71.
go back to reference Kijima Y, Kamiya T, Suzuki A, et al. A trial procedure to prevent aneurysm formation of the coronary arteries by steroid pulse therapy in Kawasaki disease. Jpn Circ J. 1982;46(11):1239–42.PubMedCrossRef Kijima Y, Kamiya T, Suzuki A, et al. A trial procedure to prevent aneurysm formation of the coronary arteries by steroid pulse therapy in Kawasaki disease. Jpn Circ J. 1982;46(11):1239–42.PubMedCrossRef
74.
go back to reference Adachi S, Sakaguchi H, Kuwahara T, et al. High regression rate of coronary aneurysms developed in patients with immune globulin-resistant Kawasaki disease treated with steroid pulse therapy. Tohoku J Exp Med. 2010;220(4):285–90.PubMedCrossRef Adachi S, Sakaguchi H, Kuwahara T, et al. High regression rate of coronary aneurysms developed in patients with immune globulin-resistant Kawasaki disease treated with steroid pulse therapy. Tohoku J Exp Med. 2010;220(4):285–90.PubMedCrossRef
75.
go back to reference Chen S, Dong Y, Yin Y, et al. Intravenous immunoglobulin plus corticosteroid to prevent coronary artery abnormalities in Kawasaki disease: a meta-analysis. Heart. 2013;99(2):76–82.PubMedCrossRef Chen S, Dong Y, Yin Y, et al. Intravenous immunoglobulin plus corticosteroid to prevent coronary artery abnormalities in Kawasaki disease: a meta-analysis. Heart. 2013;99(2):76–82.PubMedCrossRef
76.
go back to reference Matsubara T, Furukawa S, Yabuta K. Serum levels of tumor necrosis factor, interleukin 2 receptor, and interferon-gamma in Kawasaki disease involved coronary-artery lesions. Clin Immunol Immunopathol. 1990;56(1):29–36.PubMedCrossRef Matsubara T, Furukawa S, Yabuta K. Serum levels of tumor necrosis factor, interleukin 2 receptor, and interferon-gamma in Kawasaki disease involved coronary-artery lesions. Clin Immunol Immunopathol. 1990;56(1):29–36.PubMedCrossRef
77.
go back to reference Aeschlimann F, Yeung R. TNF and IL-1 targeted treatment in Kawasaki disease. Curr Treat Opt Rheumatol. 2016;2(4):283–95.CrossRef Aeschlimann F, Yeung R. TNF and IL-1 targeted treatment in Kawasaki disease. Curr Treat Opt Rheumatol. 2016;2(4):283–95.CrossRef
79.
go back to reference Hui-Yuen JS, Duong TT, Yeung RS. TNF-alpha is necessary for induction of coronary artery inflammation and aneurysm formation in an animal model of Kawasaki disease. J Immunol (Baltimore, Md: 1950). 2006;176(10):6294–301.CrossRef Hui-Yuen JS, Duong TT, Yeung RS. TNF-alpha is necessary for induction of coronary artery inflammation and aneurysm formation in an animal model of Kawasaki disease. J Immunol (Baltimore, Md: 1950). 2006;176(10):6294–301.CrossRef
80.
go back to reference Lin CY, Lin CC, Hwang B, et al. Serial changes of serum interleukin-6, interleukin-8, and tumor necrosis factor alpha among patients with Kawasaki disease. J Pediatr. 1992;121(6):924–6.PubMedCrossRef Lin CY, Lin CC, Hwang B, et al. Serial changes of serum interleukin-6, interleukin-8, and tumor necrosis factor alpha among patients with Kawasaki disease. J Pediatr. 1992;121(6):924–6.PubMedCrossRef
81.
go back to reference Furukawa S, Matsubara T, Umezawa Y, et al. Serum levels of p60 soluble tumor necrosis factor receptor during acute Kawasaki disease. J Pediatr. 1994;124(5 Pt 1):721–5.PubMedCrossRef Furukawa S, Matsubara T, Umezawa Y, et al. Serum levels of p60 soluble tumor necrosis factor receptor during acute Kawasaki disease. J Pediatr. 1994;124(5 Pt 1):721–5.PubMedCrossRef
83.
go back to reference Blandizzi C, Gionchetti P, Armuzzi A, et al. The role of tumour necrosis factor in the pathogenesis of immune-mediated diseases. Int J Immunopathol Pharmacol. 2014;27(1 Suppl):1–10.PubMedCrossRef Blandizzi C, Gionchetti P, Armuzzi A, et al. The role of tumour necrosis factor in the pathogenesis of immune-mediated diseases. Int J Immunopathol Pharmacol. 2014;27(1 Suppl):1–10.PubMedCrossRef
85.
go back to reference Ohashi R, Fukazawa R, Watanabe M, et al. Etanercept suppresses arteritis in a murine model of Kawasaki disease: a comparative study involving different biological agents. Int J Vasc Med. 2013:1–10. doi:10.1155/2013/543141. Ohashi R, Fukazawa R, Watanabe M, et al. Etanercept suppresses arteritis in a murine model of Kawasaki disease: a comparative study involving different biological agents. Int J Vasc Med. 2013:1–10. doi:10.​1155/​2013/​543141.
86.
go back to reference Crouch SP, Fletcher J. Effect of ingested pentoxifylline on neutrophil superoxide anion production. Infect Immun. 1992;60(11):4504–9.PubMedPubMedCentral Crouch SP, Fletcher J. Effect of ingested pentoxifylline on neutrophil superoxide anion production. Infect Immun. 1992;60(11):4504–9.PubMedPubMedCentral
87.
go back to reference Strieter RM, Remick DG, Ward PA, et al. Cellular and molecular regulation of tumor necrosis factor-alpha production by pentoxifylline. Biochem Biophys Res Commun. 1988;155(3):1230–6.PubMedCrossRef Strieter RM, Remick DG, Ward PA, et al. Cellular and molecular regulation of tumor necrosis factor-alpha production by pentoxifylline. Biochem Biophys Res Commun. 1988;155(3):1230–6.PubMedCrossRef
88.
go back to reference Furukawa S, Matsubara T, Umezawa Y, et al. Pentoxifylline and intravenous gamma globulin combination therapy for acute Kawasaki disease. Eur J Pediatr. 1994;153(9):663–7.PubMedCrossRef Furukawa S, Matsubara T, Umezawa Y, et al. Pentoxifylline and intravenous gamma globulin combination therapy for acute Kawasaki disease. Eur J Pediatr. 1994;153(9):663–7.PubMedCrossRef
92.
go back to reference Weiss JE, Eberhard BA, Chowdhury D, et al. Infliximab as a novel therapy for refractory Kawasaki disease. J Rheumatol. 2004;31(4):808–10.PubMed Weiss JE, Eberhard BA, Chowdhury D, et al. Infliximab as a novel therapy for refractory Kawasaki disease. J Rheumatol. 2004;31(4):808–10.PubMed
93.
94.
go back to reference Masuda H, Abe J, Oana S, et al. Abstract O.51: effects of anti-TNF-alpha antibody therapy on IVIG-resistant patients with Kawasaki disease. Circulation. 2015;131(Suppl 2):AO51. Masuda H, Abe J, Oana S, et al. Abstract O.51: effects of anti-TNF-alpha antibody therapy on IVIG-resistant patients with Kawasaki disease. Circulation. 2015;131(Suppl 2):AO51.
97.
go back to reference Mori M, Imagawa T, Hara R, et al. Efficacy and limitation of infliximab treatment for children with Kawasaki disease intractable to intravenous immunoglobulin therapy: report of an open-label case series. J Rheumatol. 2012;39(4):864–7.PubMedCrossRef Mori M, Imagawa T, Hara R, et al. Efficacy and limitation of infliximab treatment for children with Kawasaki disease intractable to intravenous immunoglobulin therapy: report of an open-label case series. J Rheumatol. 2012;39(4):864–7.PubMedCrossRef
101.
go back to reference Son MB, Gauvreau K, Burns JC, et al. Infliximab for intravenous immunoglobulin resistance in Kawasaki disease: a retrospective study. J Pediatr. 2011;158(4):644–9.PubMedCrossRef Son MB, Gauvreau K, Burns JC, et al. Infliximab for intravenous immunoglobulin resistance in Kawasaki disease: a retrospective study. J Pediatr. 2011;158(4):644–9.PubMedCrossRef
105.
go back to reference Onouchi Y, Gunji T, Burns JC, et al. ITPKC functional polymorphism associated with Kawasaki disease susceptibility and formation of coronary artery aneurysms. Nat Genet. 2008;40(1):35–42.PubMedCrossRef Onouchi Y, Gunji T, Burns JC, et al. ITPKC functional polymorphism associated with Kawasaki disease susceptibility and formation of coronary artery aneurysms. Nat Genet. 2008;40(1):35–42.PubMedCrossRef
108.
go back to reference Alphonse MP, Duong TT, Shumitzu C, et al. Inositol-triphosphate 3-kinase C mediates inflammasome activation and treatment response in Kawasaki disease. J Immunol (Baltimore, Md: 1950). 2016;197(9):3481–9. doi:10.4049/jimmunol.1600388. Alphonse MP, Duong TT, Shumitzu C, et al. Inositol-triphosphate 3-kinase C mediates inflammasome activation and treatment response in Kawasaki disease. J Immunol (Baltimore, Md: 1950). 2016;197(9):3481–9. doi:10.​4049/​jimmunol.​1600388.
110.
112.
go back to reference Aoyagi R, Hamada H, Sato Y, et al. Study protocol for a phase III multicentre, randomised, open-label, blinded-end point trial to evaluate the efficacy and safety of immunoglobulin plus cyclosporin A in patients with severe Kawasaki disease (KAICA Trial). BMJ Open. 2015;5(12):e009562-e. doi:10.1136/bmjopen-2015-009562. Aoyagi R, Hamada H, Sato Y, et al. Study protocol for a phase III multicentre, randomised, open-label, blinded-end point trial to evaluate the efficacy and safety of immunoglobulin plus cyclosporin A in patients with severe Kawasaki disease (KAICA Trial). BMJ Open. 2015;5(12):e009562-e. doi:10.​1136/​bmjopen-2015-009562.
113.
go back to reference Tremoulet AH, Pancoast P, Franco A, et al. Calcineurin inhibitor treatment of intravenous immunoglobulin–resistant Kawasaki disease. J Pediatr. 2012;161(3):506–12.PubMedPubMedCentralCrossRef Tremoulet AH, Pancoast P, Franco A, et al. Calcineurin inhibitor treatment of intravenous immunoglobulin–resistant Kawasaki disease. J Pediatr. 2012;161(3):506–12.PubMedPubMedCentralCrossRef
116.
go back to reference Kremer JM, Lawrence DA, Hamilton R, et al. Long-term study of the impact of methotrexate on serum cytokines and lymphocyte subsets in patients with active rheumatoid arthritis: correlation with pharmacokinetic measures. RMD Open. 2016;2(1):e000287-e. doi:10.1136/rmdopen-2016-000287. Kremer JM, Lawrence DA, Hamilton R, et al. Long-term study of the impact of methotrexate on serum cytokines and lymphocyte subsets in patients with active rheumatoid arthritis: correlation with pharmacokinetic measures. RMD Open. 2016;2(1):e000287-e. doi:10.​1136/​rmdopen-2016-000287.
117.
go back to reference Gerards AH, de Lathouder S, de Groot ER, et al. Inhibition of cytokine production by methotrexate. Studies in healthy volunteers and patients with rheumatoid arthritis. Rheumatology (Oxford, England). 2003;42(10):1189–96. Gerards AH, de Lathouder S, de Groot ER, et al. Inhibition of cytokine production by methotrexate. Studies in healthy volunteers and patients with rheumatoid arthritis. Rheumatology (Oxford, England). 2003;42(10):1189–96.
118.
go back to reference Pan S, Stamp LK, Duffull SB, et al. Assessment of the relationship between methotrexate polyglutamates in red blood cells and clinical response in patients commencing methotrexate for rheumatoid arthritis. Clin Pharmacokinet. 2014;53(12):1161–70. doi:10.1007/s40262-014-0179-5.PubMedCrossRef Pan S, Stamp LK, Duffull SB, et al. Assessment of the relationship between methotrexate polyglutamates in red blood cells and clinical response in patients commencing methotrexate for rheumatoid arthritis. Clin Pharmacokinet. 2014;53(12):1161–70. doi:10.​1007/​s40262-014-0179-5.PubMedCrossRef
119.
go back to reference Dalrymple JM, Stamp LK, O’Donnell JL, et al. Pharmacokinetics of oral methotrexate in patients with rheumatoid arthritis. Arthritis Rheum. 2008;58(11):3299–308.PubMedCrossRef Dalrymple JM, Stamp LK, O’Donnell JL, et al. Pharmacokinetics of oral methotrexate in patients with rheumatoid arthritis. Arthritis Rheum. 2008;58(11):3299–308.PubMedCrossRef
121.
go back to reference Ahn SY, Kim DS. Treatment of intravenous immunoglobulin-resistant Kawasaki disease with methotrexate. Scand J Rheumatol. 2005;34(2):136–9.PubMed Ahn SY, Kim DS. Treatment of intravenous immunoglobulin-resistant Kawasaki disease with methotrexate. Scand J Rheumatol. 2005;34(2):136–9.PubMed
123.
go back to reference Huang S-M, Weng K-P, Chang J-S, et al. Effects of statin therapy in children complicated with coronary arterial abnormality late after Kawasaki disease: a pilot study. Circ J. 2008;72(10):1583–7.PubMedCrossRef Huang S-M, Weng K-P, Chang J-S, et al. Effects of statin therapy in children complicated with coronary arterial abnormality late after Kawasaki disease: a pilot study. Circ J. 2008;72(10):1583–7.PubMedCrossRef
124.
go back to reference Ozawa S, Hamaoka K, Niboshi N. HMG-CoA reductase inhibitors (statins) is effective in the prevention of acute coronary arteries injury in a rabbit model for Kawasaki disease. Cardiol Young. 2006;16(S2):62–3. Ozawa S, Hamaoka K, Niboshi N. HMG-CoA reductase inhibitors (statins) is effective in the prevention of acute coronary arteries injury in a rabbit model for Kawasaki disease. Cardiol Young. 2006;16(S2):62–3.
128.
go back to reference Goldbach-Mansky R, Dailey NJ, Canna SW, et al. Neonatal-onset multisystem inflammatory disease responsive to interleukin-1beta inhibition. N Engl J Med. 2006;355(6):581–92.PubMedPubMedCentralCrossRef Goldbach-Mansky R, Dailey NJ, Canna SW, et al. Neonatal-onset multisystem inflammatory disease responsive to interleukin-1beta inhibition. N Engl J Med. 2006;355(6):581–92.PubMedPubMedCentralCrossRef
129.
go back to reference Pascual V, Allantaz F, Arce E, et al. Role of interleukin-1 (IL-1) in the pathogenesis of systemic onset juvenile idiopathic arthritis and clinical response to IL-1 blockade. J Exp Med. 2005;201(9):1479–86.PubMedPubMedCentralCrossRef Pascual V, Allantaz F, Arce E, et al. Role of interleukin-1 (IL-1) in the pathogenesis of systemic onset juvenile idiopathic arthritis and clinical response to IL-1 blockade. J Exp Med. 2005;201(9):1479–86.PubMedPubMedCentralCrossRef
131.
go back to reference Lee Y, Schulte DJ, Shimada K, et al. Interleukin-1[beta] is crucial for the induction of coronary artery inflammation in a mouse model of Kawasaki disease. Circulation. 2012;125(12):1542–50.PubMedPubMedCentralCrossRef Lee Y, Schulte DJ, Shimada K, et al. Interleukin-1[beta] is crucial for the induction of coronary artery inflammation in a mouse model of Kawasaki disease. Circulation. 2012;125(12):1542–50.PubMedPubMedCentralCrossRef
135.
go back to reference Maury CP, Salo E, Pelkonen P. Circulating interleukin-1 beta in patients with Kawasaki disease. N Engl J Med. 1988;319(25):1670–1.PubMedCrossRef Maury CP, Salo E, Pelkonen P. Circulating interleukin-1 beta in patients with Kawasaki disease. N Engl J Med. 1988;319(25):1670–1.PubMedCrossRef
143.
go back to reference Ozen S, Bilginer Y. Chapter 17: IgA vasculitis (Henoch–Schönlein purpura), polyarteritis nodosa, granulomatous polyangiitis (Wegener granulomatosis), and other vasculitides. In: Handbook of systemic autoimmune diseases. Elsevier Science & Technology; 2016. p. 1571–5078. Ozen S, Bilginer Y. Chapter 17: IgA vasculitis (Henoch–Schönlein purpura), polyarteritis nodosa, granulomatous polyangiitis (Wegener granulomatosis), and other vasculitides. In: Handbook of systemic autoimmune diseases. Elsevier Science & Technology; 2016. p. 1571–5078.
144.
go back to reference Morishita KA, Moorthy LN, Lubieniecka JM, et al. Early outcomes in children with antineutrophil cytoplasmic antibody-associated vasculitis. Arthritis Rheumatol. 2017;69(7):1470–9. doi:10.1002/art.40112.PubMedCrossRef Morishita KA, Moorthy LN, Lubieniecka JM, et al. Early outcomes in children with antineutrophil cytoplasmic antibody-associated vasculitis. Arthritis Rheumatol. 2017;69(7):1470–9. doi:10.​1002/​art.​40112.PubMedCrossRef
146.
go back to reference Zaitsu M, Hamasaki Y, Tashiro K, et al. Ulinastatin, an elastase inhibitor, inhibits the increased mRNA expression of prostaglandin H2 synthase-type 2 in Kawasaki disease. J Infect Dis. 2000;183(3):1101–9.CrossRef Zaitsu M, Hamasaki Y, Tashiro K, et al. Ulinastatin, an elastase inhibitor, inhibits the increased mRNA expression of prostaglandin H2 synthase-type 2 in Kawasaki disease. J Infect Dis. 2000;183(3):1101–9.CrossRef
147.
go back to reference Nakatani K, Takeshita S, Tsujimoto H, et al. Inhibitory effect of serine protease inhibitors on neutrophil-mediated endothelial cell injury. J Leukoc Biol. 2001;69(2):241–7.PubMed Nakatani K, Takeshita S, Tsujimoto H, et al. Inhibitory effect of serine protease inhibitors on neutrophil-mediated endothelial cell injury. J Leukoc Biol. 2001;69(2):241–7.PubMed
148.
go back to reference Kanai T, Ishiwata T, Kobayashi T, et al. Ulinastatin, a urinary trypsin inhibitor, for the initial treatment of patients with Kawasaki disease: a retrospective study. Circulation. 2011;124(25):2822–8.PubMedCrossRef Kanai T, Ishiwata T, Kobayashi T, et al. Ulinastatin, a urinary trypsin inhibitor, for the initial treatment of patients with Kawasaki disease: a retrospective study. Circulation. 2011;124(25):2822–8.PubMedCrossRef
150.
go back to reference Iino M, Igarashi H, Samada K, et al. A case of Kawasaki disease in NICU. Pediatr Res. 2003;53(1):181.CrossRef Iino M, Igarashi H, Samada K, et al. A case of Kawasaki disease in NICU. Pediatr Res. 2003;53(1):181.CrossRef
153.
go back to reference Mori M, Imagawa T, Katakura S, et al. Efficacy of plasma exchange therapy for Kawasaki disease intractable to intravenous gamma-globulin. Mod Rheumatol. 2004;14(1):43–7.PubMedCrossRef Mori M, Imagawa T, Katakura S, et al. Efficacy of plasma exchange therapy for Kawasaki disease intractable to intravenous gamma-globulin. Mod Rheumatol. 2004;14(1):43–7.PubMedCrossRef
155.
go back to reference Matsui M, Okuma Y, Yamanaka J, et al. Kawasaki disease refractory to standard treatments that responds to a combination of pulsed methylprednisolone and plasma exchange: cytokine profiling and literature review. Cytokine. 2015;2:339. doi:10.1016/j.cyto.2015.02.014.CrossRef Matsui M, Okuma Y, Yamanaka J, et al. Kawasaki disease refractory to standard treatments that responds to a combination of pulsed methylprednisolone and plasma exchange: cytokine profiling and literature review. Cytokine. 2015;2:339. doi:10.​1016/​j.​cyto.​2015.​02.​014.CrossRef
156.
go back to reference Imagawa T, Mori M, Miyamae T, et al. Plasma exchange for refractory Kawasaki disease. Eur J Pediatr. 2004;163(4–5):263–4.PubMedCrossRef Imagawa T, Mori M, Miyamae T, et al. Plasma exchange for refractory Kawasaki disease. Eur J Pediatr. 2004;163(4–5):263–4.PubMedCrossRef
157.
161.
162.
go back to reference De Zorzi A, Colan SD, Gauvreau K, et al. Coronary artery dimensions may be misclassified as normal in Kawasaki disease. J Pediatr. 1998;2:254.CrossRef De Zorzi A, Colan SD, Gauvreau K, et al. Coronary artery dimensions may be misclassified as normal in Kawasaki disease. J Pediatr. 1998;2:254.CrossRef
163.
go back to reference Durongpisitkul K, Soongswang J, Laohaprasitiporn D, et al. Immunoglobulin failure and retreatment in Kawasaki disease. Pediatr Cardiol. 2003;24(2):145–8.PubMedCrossRef Durongpisitkul K, Soongswang J, Laohaprasitiporn D, et al. Immunoglobulin failure and retreatment in Kawasaki disease. Pediatr Cardiol. 2003;24(2):145–8.PubMedCrossRef
164.
go back to reference de Magalhães CMR, de Magalhães Alves NR, de Melo AV, et al. Catastrophic Kawasaki disease unresponsive to IVIG in a 3-month-old infant: a diagnostic and therapeutic challenge. Pediatr Rheumatol Online J. 2012;10(1):1–9. doi:10.1186/1546-0096-11-7.CrossRef de Magalhães CMR, de Magalhães Alves NR, de Melo AV, et al. Catastrophic Kawasaki disease unresponsive to IVIG in a 3-month-old infant: a diagnostic and therapeutic challenge. Pediatr Rheumatol Online J. 2012;10(1):1–9. doi:10.​1186/​1546-0096-11-7.CrossRef
Metadata
Title
Treatment Options for Resistant Kawasaki Disease
Authors
Linny Kimly Phuong
Nigel Curtis
Peter Gowdie
Jonathan Akikusa
David Burgner
Publication date
01-02-2018
Publisher
Springer International Publishing
Published in
Pediatric Drugs / Issue 1/2018
Print ISSN: 1174-5878
Electronic ISSN: 1179-2019
DOI
https://doi.org/10.1007/s40272-017-0269-6

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