Increased Risk of Kawasaki Disease in Infants Born of Mothers With Immune Disorders

Frontiers in Pediatrics

article

Hsiao-Wen Chu¹  Chien-Heng Lin²  Ming-Chih Lin¹  Ya-Chi Hsu¹ 

[1] Children's Medical Center, Taichung Veterans General Hospital;Department of Medical Research, Taichung Veterans General Hospital;School of Medicine, National Yang-Ming University;Department of Food and Nutrition, Providence University;School of Medicine, Chung Shan Medical University

关键词: Kawasaki disease;    autoimmune disease;    allergic disease;    maternal child interaction;    hereditary;   

DOI  :  10.3389/fped.2021.659598

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Introduction: Genetic susceptibility and immune dysregulation play important roles in the pathogenesis of Kawasaki disease (KD). However, it is still unclear whether KD causes immune disorder later in life or whether inherited susceptibility to immune disorders causes KD. The aim of this study was to elucidate whether inherited immune disease properties from mothers increase the risk of KD from a population-based perspective. Method: Taiwan's National Health Insurance Research Database was the main data source in this study. Parents and children were linked using the Taiwan Maternal and Child Health Database. Patients diagnosed with KD and younger than 18 years from 2004 to 2015 were enrolled as the study population. The control group was randomly selected from individuals without the diagnosis of KD matched by age, index year, sex, and urbanization level at a ratio of 1 to 10. The prevalence of maternal autoimmune and allergic diseases was compared between groups. Results: In total, 7,178 children were found to have been diagnosed with Kawasaki disease. Then 71,780 children matched by index year, gender, and urbanization were randomly selected to serve as the control group. Children born from mothers with asthma and allergic rhinitis had a higher risk of developing KD. Children of mothers with an autoimmune disorder had a significantly increased tendency to develop KD. Maternal numbers of autoimmune disorders showed a dose-dependent relationship with KD incidence. Conclusion: This is the first population-based study to investigate maternal immune diseases and the risk of KD in their children. Children of mothers with immune disorders tend to have a higher risk of KD.

【 授权许可】

CC BY