id author title date pages extension mime words sentences flesch summary cache txt cord-342372-2g9sq36w Zhu, Frank H. The Clinical Diagnosis and Management of Kawasaki Disease: a Review and Update 2016-09-28 .txt text/plain 5962 315 41 The use of corticosteroids in patients with KD is currently reserved for children who have received ≥2 infusions of IVIG on the basis that effects of steroid therapy on coronary artery abnormalities were uncertain at the time of publication of KD treatment guidelines in 2004. In Japan, the study on the efficacy of IVIG and steroids in patients with severe presentation of KD (RAISE study), a multicenter, prospective, randomized, open-label, blinded-endpoints trial, showed combination treatment with IVIG and prednisolone had significant advantages over IVIG alone in the prevention of coronary artery abnormalities with rapid defervescence of fever and normalization of inflammatory markers [41•] . The earlier initiation of IVIG and corticosteroid therapy with subsequent increased steroid treatment duration was associated with significantly lower rates of coronary artery abnormalities in the RAISE study. Treatment with infliximab in patients with refractory Kawasaki disease was associated with shorter duration of fever and hospitalization when compared to second dose of IVIG in this randomized ./cache/cord-342372-2g9sq36w.txt ./txt/cord-342372-2g9sq36w.txt