Serum and Urinary Interleukin-6 (IL-6) Levels As Predicting Factors of Kawasaki Disease Activity

第六介白質為預估川崎病活性之因子

周育民(Yuh-Ming Chow) ； 林清淵(Ching-Yuang Lin) ； 黃碧桃(Betau Hwang)

《Acta Paediatrica Sinica》 34卷2期 (1993/04) Pp. 77-83

摘要

From January 1988 to Autumn 1991, 60 patients suffering from Kawasaki disease (KD) were recruited in this study. Their ages ranged from 4 months to 5 years. Diagnosis was based on the criteria revised in 1984 by the KD Research Committee in Japan. Of these, 12 cases developed coronary aneurysms. First, blood samples from 60 KD patients were taken on admission before aspirin and/or intravenous immunoglobulin (IVIG) treatment. Convalescent blood samples were taken 3 months after onset of disease. The control group included (1) 10 cases of viral infection with skin rash and fever (aged 5 months to 5 years) and (2) 10 age and sex matched normal children admitted for elective pediatric surgery such as inguinal hernia. Second, urinary samples were collected from 32 cases during the acute phase of KD. Of these, 10 cases had pyuria and/or proteinuria. The results showed that the serum IL-6 levels from KD patients during the first week of acute phase were significantly increased while undetectable in the convalescent sera and controls. There was also a statistical difference between the with and without coronary aneurysm groups during the first week (336.8±95.1 vs 125.5±56.5 pg/ml, P＜0.001). Urinary IL-6 levels were significantly elevated in KD patients with pyuria and/or proteinuria (156.6±77.7 pg/mg Cr) and undetectable in the group without pyuria and proteinuria and controls during the first week. There was no difference between with and without coronary aneurysm. These results suggest that serum IL-6 level is a useful factor for predicting formation of coronary aneurysm even within one week after onset of disease. Urinary IL-6 level may serve as a useful marker for renal parenchyma inflammatory process in KD patients.

關鍵字

文摘

並列摘要

From January 1988 to Autumn 1991, 60 patients suffering from Kawasaki disease (KD) were recruited in this study. Their ages ranged from 4 months to 5 years. Diagnosis was based on the criteria revised in 1984 by the KD Research Committee in Japan. Of these, 12 cases developed coronary aneurysms. First, blood samples from 60 KD patients were taken on admission before aspirin and/or intravenous immunoglobulin (IVIG) treatment. Convalescent blood samples were taken 3 months after onset of disease. The control group included (1) 10 cases of viral infection with skin rash and fever (aged 5 months to 5 years) and (2) 10 age and sex matched normal children admitted for elective pediatric surgery such as inguinal hernia. Second, urinary samples were collected from 32 cases during the acute phase of KD. Of these, 10 cases had pyuria and/or proteinuria. The results showed that the serum IL-6 levels from KD patients during the first week of acute phase were significantly increased while undetectable in the convalescent sera and controls. There was also a statistical difference between the with and without coronary aneurysm groups during the first week (336.8±95.1 vs 125.5±56.5 pg/ml, P＜0.001). Urinary IL-6 levels were significantly elevated in KD patients with pyuria and/or proteinuria (156.6±77.7 pg/mg Cr) and undetectable in the group without pyuria and proteinuria and controls during the first week. There was no difference between with and without coronary aneurysm. These results suggest that serum IL-6 level is a useful factor for predicting formation of coronary aneurysm even within one week after onset of disease. Urinary IL-6 level may serve as a useful marker for renal parenchyma inflammatory process in KD patients.

並列關鍵字

interleukin-6 ； Kawasaki disease ； coronary aneurysm