Revisiting the role of environmental and climate factors on the epidemiology of Kawasaki disease

X Rodó, J Ballester, R Curcoll… - Annals of the New …, 2016 - Wiley Online Library
X Rodó, J Ballester, R Curcoll, J Boyard‐Micheau, S Borràs, JA Morguí
Annals of the New York Academy of Sciences, 2016Wiley Online Library
Can environmental factors, such as air‐transported preformed toxins, be of key relevance to
the health outcomes of poorly understood human ailments (eg, rheumatic diseases such as
vasculitides, some inflammatory diseases, or even severe childhood acquired heart
diseases)? Can the physical, chemical, or biological features of air masses be linked to the
emergence of diseases such as Kawasaki disease (KD), Henoch–Schönlein purpura,
Takayasu's aortitis, and ANCA‐associated vasculitis? These diseases surprisingly share …
Can environmental factors, such as air‐transported preformed toxins, be of key relevance to the health outcomes of poorly understood human ailments (e.g., rheumatic diseases such as vasculitides, some inflammatory diseases, or even severe childhood acquired heart diseases)? Can the physical, chemical, or biological features of air masses be linked to the emergence of diseases such as Kawasaki disease (KD), Henoch–Schönlein purpura, Takayasu's aortitis, and ANCA‐associated vasculitis? These diseases surprisingly share some common epidemiological features. For example, they tend to appear as clusters of cases grouped geographically and temporarily progress in nonrandom sequences that repeat every year in a similar way. They also show concurrent trend changes within regions in countries and among different world regions. In this paper, we revisit transdisciplinary research on the role of environmental and climate factors in the epidemiology of KD as a paradigmatic example of this group of diseases. Early‐warning systems based on environmental alerts, if successful, could be implemented as a way to better inform patients who are predisposed to, or at risk for, developing KD. Further research on the etiology of KD could facilitate the development of vaccines and specific medical therapies.
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