Anemia in Kawasaki Disease: Hepcidin as a Potential Biomarker

Int J Mol Sci. 2017 Apr 12;18(4):820. doi: 10.3390/ijms18040820.

Abstract

Kawasaki disease (KD) is an autoimmune-like disease and acute childhood vasculitis syndrome that affects various systems but has unknown etiology. In addition to the standard diagnostic criteria, anemia is among the most common clinical features of KD patients and is thought to have a more prolonged duration of active inflammation. In 2001, the discovery of a liver-derived peptide hormone known as hepcidin began revolutionizing our understanding of anemia's relation to a number of inflammatory diseases, including KD. This review focuses on hepcidin-induced iron deficiency's relation to transient hyposideremia, anemia, and disease outcomes in KD patients, and goes on to suggest possible routes of further study.

Keywords: Kawasaki disease; anemia; hepcidin; iron deficiency.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Anemia / diagnosis
  • Anemia / etiology*
  • Anemia, Iron-Deficiency / diagnosis
  • Anemia, Iron-Deficiency / etiology
  • Animals
  • Biomarkers
  • Coronary Vessels / metabolism
  • Coronary Vessels / pathology
  • Hepcidins / blood
  • Humans
  • Iron / metabolism
  • Macrophages / immunology
  • Macrophages / metabolism
  • Mucocutaneous Lymph Node Syndrome / blood
  • Mucocutaneous Lymph Node Syndrome / complications*
  • Mucocutaneous Lymph Node Syndrome / epidemiology
  • Mucocutaneous Lymph Node Syndrome / therapy

Substances

  • Biomarkers
  • Hepcidins
  • Iron